Individual provider · Type 1 NPI

Chad Brian Gooderham, FNP

Family Nurse Practitioner · Fort Wainwright, AK

NPI number 1639153091 Active

Practice location

1060 Gaffney Rd
Fort Wainwright, AK 99703-5001

Mailing address

1123 Shannon Dr
Fairbanks, AK 99701-3811

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1927-033 (WI)
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1639153091

Chad Brian Gooderham, FNP's National Provider Identifier is 1639153091, issued on Nov 30, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wainwright, AK. The record was last updated on Jul 13, 2026.