Individual provider · Type 1 NPI
Michelle Gough, RN, MSN, FNP-C
Family Nurse Practitioner · Los Gatos, CA
NPI number
1770964504
Active
Practice location
15055 Los Gatos Blvd, Ste 250
Los Gatos, CA 95032-2083
Fax (408) 520-4960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP95000661 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770964504
Michelle Gough, RN, MSN, FNP-C's National Provider Identifier is 1770964504, issued on Jun 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Gatos, CA. The record was last updated on Jun 17, 2015.