Individual provider · Type 1 NPI
Shelby Doris Goodman
Nurse Practitioner · Fargo, ND
Practice location
700 1st Ave S
Fargo, ND 58103-1802
Fax (701) 234-4134
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice locations
- 5225 23rd Ave S, Fargo, ND 58104-7927 · (701) 417-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R39844 (ND) |
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 1457932964
Shelby Doris Goodman's National Provider Identifier is 1457932964, issued on Apr 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Oct 1, 2021.