# MIRELA ELENA GOETZKE

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

## Provider details

- **NPI number:** 1467705921
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP0764780 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | 778539 | TX | — |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2086738 | — | WA |
| 05 | — | 345788901 | — | TX |