Individual provider · Type 1 NPI
Krystal Goudreau, RN
Family Nurse Practitioner · Manistique, MI
NPI number
1609301829
Active
Practice location
113 N Lake St
Manistique, MI 49854-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704260602 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704260602 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609301829
Krystal Goudreau, RN's National Provider Identifier is 1609301829, issued on Apr 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manistique, MI. The record was last updated on Aug 9, 2023.