Individual provider · Type 1 NPI
Renee Marie Goodrich, NURSE PRACTITIONER
Family Nurse Practitioner · Kokomo, IN
NPI number
1124750815
Active
Practice location
2004 W Sycamore St
Kokomo, IN 46901-4112
Fax (765) 450-6744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Registered Nurse | 163W00000X | 28202615A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71012832A (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1124750815
Renee Marie Goodrich, NURSE PRACTITIONER's National Provider Identifier is 1124750815, issued on Jun 30, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kokomo, IN. The record was last updated on Sep 5, 2025.