Individual provider · Type 1 NPI

Pamela Elaine Goodman, RN

Student in an Organized Health Care Education/Training Program · Spencer, NY

NPI number 1366719809 Active

Practice location

Dartt Crossroad & Route 34
Spencer, NY 14883

Mailing address

129 Donovan Dr
Horseheads, NY 14845-9077

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X443645 (NY)

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.

About NPI 1366719809

Pamela Elaine Goodman, RN's National Provider Identifier is 1366719809, issued on Nov 29, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spencer, NY. The record was last updated on Nov 29, 2011.