Individual provider · Type 1 NPI

Ashley Nicole Goba, CPNP-PC

Pediatric Nurse Practitioner · Ronkonkoma, NY

NPI number 1275203523 Active

Practice location

45 University Dr
Ronkonkoma, NY 11779-1904

Call (516) 456-6538 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383171 (NY)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1275203523

Ashley Nicole Goba, CPNP-PC's National Provider Identifier is 1275203523, issued on Sep 17, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 17, 2021.