Individual
SAMANTHA NICOLE GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 361-6276
(316) 368-3155
Mailing address
6526 S WARD PKWY, WICHITA, KS 67217-5962
(620) 480-0115
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
81669
KS
Other
Enumeration date
03/17/2021
Last updated
09/02/2024
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