NPI 1265760284 · live from the CMS NPI Registry
Jeremy E Gofton, RNFA
Registered Nurse, Registered Nurse First Assistant in Tucson, AZ. National Provider Identifier 1265760284, active.
NPI record
| NPI | 1265760284 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 5601 E Camino Del Celador, Tucson, AZ 85750 |
| Practice phone | 520-979-9178 |
| Enumerated | December 2, 2009 |
| Last updated | May 30, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | 125349 (CO) |
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | rn139696 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.