Individual provider · Type 1 NPI

Amy Goodman

Student in an Organized Health Care Education/Training Program · Adrian, MI

NPI number 1225593791 Active

Practice location

1325 Williams St
Adrian, MI 49221-2563

Call (815) 307-0987 Map

Mailing address

3316 Chestnut Dr
Mchenry, IL 60051-2691

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XG355-0119-7940 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225593791

Amy Goodman's National Provider Identifier is 1225593791, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Adrian, MI. The record was last updated on Feb 8, 2019.