Individual
MICAH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 OLYMPIC PL, TOWSON, MD 21204-4104
(888) 444-1378
(410) 584-5440
Mailing address
1 OLYMPIC PL, TOWSON, MD 21204-4104
(888) 444-1374
(410) 584-5440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R244861
MD
363L00000X
Nurse Practitioner
Primary
R244861
MD
Other
Enumeration date
11/06/2023
Last updated
05/28/2026
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