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Ivan Robert Gossage, NP
Psychiatric/Mental Health Nurse Practitioner in Chico, California
NPI 1386807030

Ivan Robert Gossage is a Psychiatric/Mental Health Nurse Practitioner based in Chico, CA and is specialized in Psychiatric/Mental Health. Ivan Robert Gossage practices in Chico, CA and has the professional credentials of NP. The NPI Number for Ivan Robert Gossage is 1386807030 and holds a License No. 808252 (California).

The current practice location address for Ivan Robert Gossage is 1660 Humboldt Rd Ste 3, Chico, CA and can be reached out via phone at 530-530-3370.

Location: 1660 Humboldt Rd Ste 3, Chico, CA, 95928-9199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386807030
Provider Name
Ivan Robert Gossage
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1660 Humboldt Rd Ste 3, Chico, CA, 95928-9199
Phone Number
530-530-3370
Fax Number
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1660 Humboldt Rd Ste 3
City
Chico
State
California
Zip
95928-9199
Phone Number
530-530-3370
Fax Number
person
Provider Business Mailing Address Details
Address
1660 Humboldt Rd Ste 3
City
Chico
State
California
Zip
95928-9199
Phone Number
530-530-3370
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95014269 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
231037 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
808252 (California)
Definition
Definition to come...
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