Individual provider · Type 1 NPI

Antoinette M. Goodman

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1801409396 Active

Practice location

2800 Freeway Blvd Ste 105
Minneapolis, MN 55430-1751

Call (612) 430-9298 Map

Fax (833) 736-7476

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801409396

Antoinette M. Goodman's National Provider Identifier is 1801409396, issued on Aug 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 25, 2020.