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Individual
MARTHA HOFFMAN GOEDERT
Active
Individual
MARTHA HOFFMAN GOEDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM. FNP, PHD,FACNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51363
NE
363L00000X
Nurse Practitioner
Primary
AP60031352
WA
363LF0000X
Family Nurse Practitioner
110117
NE
367A00000X
Advanced Practice Midwife
120006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420166
—
IA
01
—
470765154
FEDERAL ID NUMBER
IA
Enumeration date
10/17/2006
Last updated
01/18/2024
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