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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK A GOFORTH, NURSE PRACTITIONER

Active

MARK A GOFORTH, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in VAIL, Arizona. NPI 1699198747 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · VAIL, AZ

Registration Details

NPI Number
1699198747
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2014 (12.503721415933 yrs)
Last Updated
Aug 26, 2025
License
AP4993 (AZ)

Practice Information

Address
14029 E CAMINO GALANTE
VAIL, AZ, 856412067
Browse AZ providers · Browse ZIP 85641
Phone
5209047987

Other Psychiatric/Mental Health Nurse Practitioner Providers in VAIL, AZ

Name Credential NPI
MELISSA AMBER GUMMO PMHNP-BC 1225738636
CLIFF MOSETI OBWOGE 1740076462
FOLEFAC ASONGTIA 1639040173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.