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Individual
DR. AMY NICOLE GOODWINE
Active
Individual
DR. AMY NICOLE GOODWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000658
VA
237600000X
Audiologist-Hearing Aid Fitter
2101001172
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010244919
—
VA
01
—
392788YGFF
MEDICARE
VA
Enumeration date
04/14/2006
Last updated
09/28/2026
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