Provider Demographics
NPI:1902601248
Name:GOUGE-SMITH, ANNAKA RACHEL CATHERINE (MA)
Entity type:Individual
Prefix:
First Name:ANNAKA
Middle Name:RACHEL CATHERINE
Last Name:GOUGE-SMITH
Suffix:
Gender:
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:7468 INSPIRA DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-1803
Mailing Address - Country:US
Mailing Address - Phone:480-516-5293
Mailing Address - Fax:
Practice Address - Street 1:7455 W WASHINGTON AVE STE 302
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-4340
Practice Address - Country:US
Practice Address - Phone:855-864-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic