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Individual
DAISY J GOODMAN
Active
Individual
DAISY J GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R045622
ME
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
045116-23
NH
367A00000X
Advanced Practice Midwife
045116-23
NH
367A00000X
Advanced Practice Midwife
045622
ME
Other
Enumeration date
02/07/2006
Last updated
03/06/2013
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