Individual provider · Type 1 NPI
Yaukpala Ina Gofan, DNP, AGNP-C, CCRN
Gerontology Nurse Practitioner · Royal Oak, MI
NPI number
1912408915
Active
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice locations
- 28050 Grand River Ave, Farmington Hills, MI 48336-5919 · (248) 471-5000
- 4100 John R St, Detroit, MI 48201-2013 · (248) 581-5834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704200810 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Royal Oak
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- Matthew Lawrence Bowers, AGACNP-BCGerontology Nurse Practitioner Royal Oak, MI NPI 1215703657
- Alla ZabegayloGerontology Nurse Practitioner Royal Oak, MI NPI 1245693126
- Amanda M. Mastrofini, NPGerontology Nurse Practitioner Royal Oak, MI NPI 1285118919
- Marilyn Chrisman, NPGerontology Nurse Practitioner Royal Oak, MI NPI 1528076973
- Claire Christine Chirillo, MSN, AGNP-CGerontology Nurse Practitioner Royal Oak, MI NPI 1558903237
- Ryan Havens, AGPCNP-BCGerontology Nurse Practitioner Royal Oak, MI NPI 1629473228
About NPI 1912408915
Yaukpala Ina Gofan, DNP, AGNP-C, CCRN's National Provider Identifier is 1912408915, issued on Feb 24, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 1, 2026.