ADAM GOFORTH

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1356173124

Practice Address

513 N MAIN ST
Anna, IL 62906

Phone: (618) 833-4471

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 209.030398 (IL)
Registered Nurse 163W00000X No 041.505508 (IL)

Frequently Asked Questions

NPI 1356173124 is the National Provider Identifier for ADAM GOFORTH, a Nurse Practitioner - Psychiatric/Mental Health provider located in Anna, IL. This NPI was enumerated on August 19, 2024.
ADAM GOFORTH practices at 513 N MAIN ST, Anna, IL 62906.

Quick Facts

NPI
1356173124
Type
Individual
Enumerated
Aug 19, 2024
Last Updated
Dec 9, 2024

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