# SAMUEL GODIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023748621
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | AP61298808 | WA | — |
| 363LG0600X | Gerontology Nurse Practitioner | AP61298808 | WA | Yes |

## Other

- **Enumeration date:** 06/15/2022
- **Last updated:** 07/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2212414 | — | WA |