Individual provider · Type 1 NPI
Marva Beverly Gooden
General Practice Registered Nurse · Randallstown, MD
NPI number
1053439034
Active
Practice location
9029 Meadow Heights Rd
Randallstown, MD 21133-3627
Fax (410) 377-9687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | R138075 (MD) |
General Practice Registered Nurse: Definition to come...
About NPI 1053439034
Marva Beverly Gooden's National Provider Identifier is 1053439034, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Randallstown, MD. The record was last updated on Jul 8, 2007.