Individual provider · Type 1 NPI

Michael C. Goodall, RNFA

Medical-Surgical Registered Nurse · Davenport, IA

NPI number 1437138302 Active

Practice location

1414 W Lombard Street
Davenport, IA 52804-2148

Call (563) 322-0971 Map

Fax (563) 322-1780

Mailing address

3565 Utica Ridge Rd
Bettendorf, IA 52722-1645

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X049407 (IA)
Medical-Surgical Registered Nurse 163WM0705X041322709 (IL)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1437138302

Michael C. Goodall, RNFA's National Provider Identifier is 1437138302, issued on Jan 10, 2006. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Davenport, IA. The record was last updated on Sep 8, 2008.