KRYSTAL LYNN GOULA NPI 1699484279

NPI Information

NPI: 1699484279
Provider Name: KRYSTAL LYNN GOULA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
101 VERA KING FARRIS DR
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-1776
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Krystal Lynn Goula is a family nurse practitioner in Galloway, NJ with 1 years of experience. Krystal Lynn Goula NPI is 1699484279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 VERA KING FARRIS DR
GALLOWAY, NJ
ZIP 08205-441
Phone: (609) 652-1776

The NPI 1699484279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2022 and was last updated on 9/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		26NR18214800	NEW JERSEY	No
2	363LF0000X	Nurse Practitioner	Family	26NJ14911600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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