Individual
TARA R GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931
Mailing address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C107297
IA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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