Provider Demographics
NPI:1538439534
Name:GOFF, MEGHAN EILEEN (PA-C)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:EILEEN
Last Name:GOFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:EILEEN
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1365 WINDY RIDGE
Mailing Address - Street 2:
Mailing Address - City:MENDOTA
Mailing Address - State:MN
Mailing Address - Zip Code:55150-2373
Mailing Address - Country:US
Mailing Address - Phone:612-979-3658
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:612-813-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical