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

Mark A Goforth, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699198747

Mark A Goforth, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Vail, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

14029 E Camino Galante
Vail, AZ 85641-2067
Phone: (520) 904-7987
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 · Licence AP4993 (AZ)

Record details

NPI number1699198747
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 27, 2014
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address14029 E. Camino Galante, Vail, AZ 85641

Other providers in Vail