Patricia Anne Goffney, REGISTERED NURSE
Individual provider Active NPI Infusion Therapy Registered Nurse · Joshua Tree, CA
NPI 1336463850 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1336463850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infusion Therapy Registered Nurse 163WI0500X
- License
- 134402 (CA)
- Practice address
- 6161 El Reposo St
Joshua Tree, CA 92252-2111 - Phone
- (760) 366-1685
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134402 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 134402 | CA | |
| Infusion Therapy Registered Nurse | 163WI0500X | 134402 | CA | Yes |
Addresses
Primary practice location
6161 El Reposo St
Joshua Tree, CA 92252-2111
Mailing address
6161 El Reposo St
Joshua Tree, CA 92252-2111
Phone (760) 366-1685
Other providers in Joshua Tree, CA
- Shania Garrett
- Marie Gauley
- Betty Geiger
- Jai V Ghatnekar
- Kristina Lynn Gillam
- Tara Gonzalez
- Kelsey Marie Goodwin
- Renato Francisco Guzman
- Sung Phill Han
- HDMC Holdings, LLC
All providers in Joshua Tree, CA · Infusion Therapy Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.