Individual provider · Type 1 NPI

Shantivia Boneparte Goodwin

Emergency Registered Nurse · Monroe, NC

NPI number 1740892983 Active

Practice location

2020 Ashcraft Ave
Monroe, NC 28110-3720

Other practice locations

  • 4374 Lancaster Hwy, Richburg, SC 29729-9060 · (803) 789-4381
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-2000

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X268305 (NC)

Emergency Registered Nurse: Definition to come...

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About NPI 1740892983

Shantivia Boneparte Goodwin's National Provider Identifier is 1740892983, issued on Aug 19, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Monroe, NC. The record was last updated on Aug 19, 2020.