Provider Demographics
NPI:1104594423
Name:GOLDSBOROUGH, ENGLISH NICHOLE
Entity type:Individual
Prefix:
First Name:ENGLISH
Middle Name:NICHOLE
Last Name:GOLDSBOROUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 QUINN DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-2940
Mailing Address - Country:US
Mailing Address - Phone:502-751-1435
Mailing Address - Fax:
Practice Address - Street 1:1300 ENVOY CIR STE 1302
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2894
Practice Address - Country:US
Practice Address - Phone:502-630-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date: