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NPI Code Detail

MEDICARE: MARIA GOCHIOCO

MEDICARE: MARIA GOCHIOCO
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 PractitionerAPN000997NV

General Provider Information

NPI Number : 1316249857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GOCHIOCO
Provider Business Mailing Address
First Line : 4165 30TH AVE S STE 101
Second Line :
City : FARGO
State : ND
Zip : 58104-8419
Country : US
Telephone Number : 866-825-3227
Fax Number : 866-397-7399
Provider Business Practice Location Address
First Line : 1445 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0211
Country : US
Telephone Number : 866-825-3227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2010
Last Update Date : 12/02/2010

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Directions to “ MARIA GOCHIOCO ” Practice Location

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