National Provider Identifier
Sophia Rose Goosen, BSN, RN
Sophia Rose Goosen, BSN, RN is listed in the NPPES registry with a primary specialty of Community Health Registered Nurse in Ithaca, NY and a listed phone number of (607) 274-6600.
Profile Overview
- NPI
- 1700609120
- Provider Type
- Individual
- Primary Specialty
- Community Health Registered Nurse
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
Practice Location
- 55 Brown RD
- Ithaca, NY 14850-1247
Phone: (607) 274-6600
Mailing Address
- 112 W Buffalo St
- Ithaca, NY 14850-4132
Specialties
- Community Health Registered Nurse (163WC1500X)
Full Record
- NPI
- 1700609120
- Entity Type
- Individual
- Last Name
- Goosen
- First Name
- Sophia
- Middle Name
- Rose
- Name Prefix
- Mrs.
- Credential
- BSN, RN
- Mailing Street Address
- 112 W Buffalo St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4132
- Mailing Country
- US
- Practice Street Address
- 55 Brown RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1247
- Practice Country
- US
- Practice Phone
- (607) 274-6600
- Enumeration Date
- November 04, 2024
- Last Updated
- November 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Registered Nurse (163WC1500X)