Individual provider · Type 1 NPI

Beverly Goodman, PNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1376542522 Active

Practice location

5201 Harry Hines Blvd, Medical Staff Services
Dallas, TX 75235-7708

Call (214) 590-8006 Map

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	460281 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376542522

Beverly Goodman, PNP's National Provider Identifier is 1376542522, issued on Jul 19, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Nov 22, 2008.