Individual provider · Type 1 NPI
Patricia Goodman, CRNP
Primary Care Nurse Practitioner · Uppr Marlboro, MD
NPI number
1376017236
Active
Practice location
7013 Copper Sky Ct
Uppr Marlboro, MD 20772-4398
Mailing address
PO Box 157
Ashton, MD 20861-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | R149467 (MD) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1376017236
Patricia Goodman, CRNP's National Provider Identifier is 1376017236, issued on Jan 14, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Uppr Marlboro, MD. The record was last updated on Aug 16, 2019.