Individual
MS. CARRIE CHRISTINA GOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1520 S. DOBSON RD., SUITE 203, MESA, AZ 85202
(480) 461-8400
(480) 461-8408
Mailing address
4511 E. BRIARWOOD TERRACE, PHOENIX, AZ 85048
(480) 272-7816
(480) 461-8408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2157
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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