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NPI Code Detail

MEDICARE: ANANSA KATRINA GO ARNP

MEDICARE:   ANANSA KATRINA GO  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner811536NV

General Provider Information

NPI Number : 1730662909
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANANSA KATRINA GO ARNP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 921 W OWENS AVE STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-5405
Country : US
Telephone Number : 725-269-3364
Fax Number : 725-269-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 01/03/2023

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Directions to “ ANANSA KATRINA GO ARNP” Practice Location

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