Individual provider · Type 1 NPI

Carol Ann Goeken, NP

Nurse Practitioner · Modesto, CA

NPI number 1336323153 Active

Practice location

1209 Woodrow Ave Ste B10
Modesto, CA 95350-1273

Fax (209) 558-5310

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP8719 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336323153

Carol Ann Goeken, NP's National Provider Identifier is 1336323153, issued on Dec 28, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Mar 18, 2011.