| Nicole Susanne Gooden, FNP-C | |
|
9849 Kenworthy St, El Paso, TX 79924-4402 | |
| (915) 215-5500 | |
| (915) 215-8655 |
| Full Name | Nicole Susanne Gooden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9849 Kenworthy St, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902510969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1107100 (Texas) | Primary |
| Entity Name | Texas Tech University Health Sciences Center El Paso |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
| Entity Name | Salud Y Vida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287287 PECOS PAC ID: 9830115229 Enrollment ID: O20051014000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Susanne Gooden, FNP-C 1335 Geronimo Dr, El Paso, TX 79925-1836 Ph: (915) 591-2704 | Nicole Susanne Gooden, FNP-C 9849 Kenworthy St, El Paso, TX 79924-4402 Ph: (915) 215-5500 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 | |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11450 Gateway Blvd N Ste 1100, El Paso, TX 79934 Phone: 915-271-4635 | |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 | |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 | |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 | |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 | |
Kathryn Josephine Goss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-298-5444 |