Gough, Michele Lynn

Gough, Michele Lynn is an individual health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gough, Michele Lynn can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2160 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP2160 Arizona

Profile Details

NPI number 1093716995
LBN Legal business name Gough, Michele Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 8th, 2020 - about 4 years ago

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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