Individual provider · Type 1 NPI

Channa Terese Goodman, RN

Pediatric Registered Nurse · Tyler, TX

NPI number 1073281135 Active

Practice location

100 E Ferguson St Ste 608
Tyler, TX 75702-5756

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X896590 (TX)

Pediatric Registered Nurse: Definition to come...

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About NPI 1073281135

Channa Terese Goodman, RN's National Provider Identifier is 1073281135, issued on Sep 2, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Tyler, TX. The record was last updated on Sep 2, 2021.