| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CATHERINE E GOFORTH | 1679261267 | 2023-05-06 |
Catherine E Goforth is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679261267. Registration indicates Catherine E Goforth is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Catherine E Goforth APRN |
| Practice Office Address | 515 MEMORIAL DR STE 3 MANCHESTER, KY US |
| Practice Office Telephone | 6065990169 |
| Practice Office Fax | 6065990297 |
| Mailing Address | 515 MEMORIAL DR STE 3 MANCHESTER, KY 409629157 US |
| Business Telephone | 6065990169 |
| Business Fax | 6065990297 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4002138
KY |