Individual provider · Type 1 NPI
Tunese Goodwin, PROTHETIC SPECIALIST
Customized Equipment (DME) · Bellevue, NE
NPI number
1568056406
Active
Practice location
798 Fort Crook Rd S
Bellevue, NE 68005-2964
Mailing address
6024 N 107th St
Omaha, NE 68134-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management | 1744P3200X | None listed |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1568056406
Tunese Goodwin, PROTHETIC SPECIALIST's National Provider Identifier is 1568056406, issued on Feb 22, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bellevue, NE. The record was last updated on Feb 22, 2021.