Individual provider · Type 1 NPI
Stanley Gooding, FNP
Family Nurse Practitioner · Godfrey, IL
NPI number
1679019400
Active
Practice location
5520 Godfrey Rd, Ste B
Godfrey, IL 62035-2741
Fax (618) 467-0073
Mailing address
670 Mason Ridge Center Dr, Ste. 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2017001791 (MO) |
| Registered Nurse | 163W00000X | 131063 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 209015670 (IL) |
| Family Nurse Practitioner | 363LF0000X | 2017001791 (MO) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Godfrey
- Sarah Ann Becker, FNP-BCFamily Nurse Practitioner Godfrey, IL NPI 1396085668
- Benedicta I. Odemerho, FNPFamily Nurse Practitioner Godfrey, IL NPI 1427332956
- Tracie Lynn Eilerman, FNPFamily Nurse Practitioner Godfrey, IL NPI 1619456472
- Dana Renee Longmeyer, FNPFamily Nurse Practitioner Godfrey, IL NPI 1649491184
- Melissa Kay Lee, FNP-CFamily Nurse Practitioner Godfrey, IL NPI 1679920052
- Sarah Gieszelmann, FNPFamily Nurse Practitioner Godfrey, IL NPI 1720448806
- Valerie Ann Fretz, NPFamily Nurse Practitioner Godfrey, IL NPI 1720885270
- Kristin Anne Childers, FNP-CFamily Nurse Practitioner Godfrey, IL NPI 1801359575
About NPI 1679019400
Stanley Gooding, FNP's National Provider Identifier is 1679019400, issued on Jan 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Godfrey, IL. The record was last updated on Apr 5, 2017.