Individual provider · Type 1 NPI

Wanda Jean Goodrich

Licensed Practical Nurse · Kennett, MO

NPI number 1194356576 Active

Practice location

935 State Route Vv
Kennett, MO 63857-3822

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2007026784 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194356576

Wanda Jean Goodrich's National Provider Identifier is 1194356576, issued on Feb 4, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kennett, MO. The record was last updated on Feb 4, 2020.