Individual
RIANE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1101 LUDLOW ST APT 318, PHILADELPHIA, PA 19107-4251
(561) 222-9333
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
NPPA041708
PA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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