Individual provider · Type 1 NPI
Laura Sue Goodwin, RN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1689615197
Active
Practice location
4715 Viewridge Ave, Ste 230
San Diego, CA 92123-1658
Fax (800) 819-1655
Mailing address
5312 Crawford Ct
Flower Mound, TX 75028-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 608881 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689615197
Laura Sue Goodwin, RN, PMHNP's National Provider Identifier is 1689615197, issued on Jun 8, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Feb 22, 2010.