Individual
SAMUEL GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Mailing address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP61298808
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61298808
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212414
—
WA
Enumeration date
06/15/2022
Last updated
07/29/2025
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