Individual provider · Type 1 NPI
Mary Goode, MSN, RN, CCRN, CSC
Critical Care Medicine Registered Nurse · Whitmore, CA
NPI number
1790639102
Active
Practice location
12318 Fern Rd
Whitmore, CA 96096-9535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95022092 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1790639102
Mary Goode, MSN, RN, CCRN, CSC's National Provider Identifier is 1790639102, issued on Feb 23, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Whitmore, CA. The record was last updated on Feb 23, 2026.