Goetz De Gaona, Marilyn J

Goetz De Gaona, Marilyn J is an individual health care provider with primary practice located at 1900 State St Suite G, Santa Barbara CA 93101-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Goetz De Gaona, Marilyn J can be contacted via phone (805) 617-7858.

Contact Information

Primary practice address
1900 State St Suite G Santa Barbara CA 93101-2429
Phone: (805) 617-7858
Fax: (805) 898-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP1415 California

Profile Details

NPI number 1336218759
LBN Legal business name Goetz De Gaona, Marilyn J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336218759 NPPES
California Other NP1415 NURSE PRACTITIONER LICENS

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