Individual
DONNA GOODWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12513 TOWNSHIP ROAD 503, BIG PRAIRIE, OH 44611-9629
(330) 749-7523
Mailing address
12513 TOWNSHIP ROAD 503, BIG PRAIRIE, OH 44611-9629
(330) 749-7523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA14307-NP
OH
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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