Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gofan Healthcare Service LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1346058328

Gofan Healthcare Service LLC is a Psychiatric/Mental Health Nurse Practitioner in Riverdale, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6200 Baltimore Ave Ste 300
Riverdale, MD 20737-1054
Phone: (469) 296-8177
Fax: (469) 722-5748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1346058328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacinta Madu — Owner · (804) 469-0044
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address2072 Royal Acres Trl, Frisco, TX 75036-8772

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