Individual provider · Type 1 NPI
Michele Goodson, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1689307472
Active
Practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP025238 (PA) |
| Pediatric Nurse Practitioner | 363LP0200X | LJ-0010409 (DE) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP025238 (PA) |
| Nurse Practitioner | 363L00000X | LJ-0010409 (DE) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1689307472
Michele Goodson, CRNP's National Provider Identifier is 1689307472, issued on Jul 8, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 4, 2026.