Individual provider · Type 1 NPI

Ivan Robert Gossage, NP

Psychiatric/Mental Health Nurse Practitioner · Chico, CA

NPI number 1386807030 Active

Practice location

1660 Humboldt Rd Ste 3
Chico, CA 95928-9199

Other practice locations

  • 560 Cohasset Rd, Chico, CA 95926-2281 · (530) 332-4250
  • 592 Rio Lindo Ave, Chico, CA 95926-1817 · (530) 891-2775

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X808252 (CA)
Licensed Vocational Nurse 164X00000X231037 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95014269 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1386807030

Ivan Robert Gossage, NP's National Provider Identifier is 1386807030, issued on Jul 2, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chico, CA. The record was last updated on Oct 12, 2021.