# SUSAN GODWIN

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

## Provider details

- **NPI number:** 1346648946
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 296195-4405 | UT | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 10/27/2024