Active NPIIndividual providerSole proprietor

Mrs. Audrey A Goforth

Specialist in Wakefield, Massachusetts

NPI Number1598970576
Practice location
607 North Ave Ste 12, Wakefield, MA 01880-1307
Fax
—
Last updated
July 8, 2007

Audrey Ann Goforth is a Specialist based in Wakefield, MA. Audrey Ann Goforth practices in Wakefield, MA. The NPI Number for Audrey Ann Goforth is 1598970576 and holds a License No. 1143 (MA). The current practice location address for Audrey Ann Goforth is 607 North Ave Ste 12, Wakefield, MA 01880-1307 and can be reached out via phone at 781-245-5710.

Provider Profile Details

NPI Number
1598970576
Provider Name
Audrey Ann Goforth
Provider Entity Type
Individual
Gender
Female
Address
607 North Ave Ste 12, Wakefield, MA 01880-1307
Phone Number
781-245-5710
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Other Names
Miss Audrey Ann Kelble (Former Name)
Provider Enumeration Date
May 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 North Ave Ste 12
Wakefield, MA 01880-1307
Zip
01880-1307
Phone Number
781-245-5710
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
123 Lille RD
Nashua, NH 03062-2439
City
Nashua
State
NH
Zip
03062-2439
Phone Number
603-888-0605

License Information

License Number
1143
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Audrey A Goforth?

The NPI number of Mrs. Audrey A Goforth is 1598970576. It was assigned on May 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Audrey A Goforth?

Mrs. Audrey A Goforth is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 1143.

Where does Mrs. Audrey A Goforth practice?

The practice location is 607 North Ave Ste 12, Wakefield, MA 01880-1307. The office can be reached at 781-245-5710 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598970576 directly on the NPPES registry website.

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