Glynda Rae Gosse, R.N.
Individual provider Active NPI Registered Nurse · Colby, WI
NPI 1992950497 · NPPES record last updated Nov 25, 2008
Key facts
- NPI
- 1992950497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 162191-030 (WI)
- Practice address
- 522 N 2ND St
Colby, WI 54421-9601 - Phone
- (715) 223-4659
- NPI assigned
- Nov 25, 2008
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162191-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 162191-030 | WI | Yes |
Addresses
Primary practice location
522 N 2ND St
Colby, WI 54421-9601
Mailing address
522 N 2ND St
Colby, WI 54421-9601
Phone (715) 223-4659
Other providers in Colby, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2008. 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.