Individual
LAURA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4700
(970) 625-5200
(970) 625-4804
Mailing address
2014 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4229
(970) 945-6614
(970) 947-0155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
42116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62788710
—
CO
Enumeration date
07/02/2008
Last updated
07/02/2008
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