Individual
REBA GOODROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 POMPERAUG OFFICE PARK STE 102&103, SOUTHBURY, CT 06488-2295
(203) 558-1143
Mailing address
82 CENTRAL AVE, WOLCOTT, CT 06716-3002
(203) 589-7867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9240
CT
Other
Enumeration date
10/06/2020
Last updated
01/01/2022
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