Individual
MARGIE M GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
335 UNA AVE., CATHLAMET, WA 98612
(360) 795-3201
(360) 795-3209
Mailing address
335 UNA AVE., CATHLAMET, WA 98612
(360) 795-3201
(360) 795-3209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30001050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188432
LABOR & INDUSTRIES
WA
01
—
5233678
AETNA PROV #
WA
01
—
9161GO
REGENCE PROV #
WA
05
—
9607284
—
WA
01
—
J8131-02
PACIFIC SOURCE
WA
Enumeration date
04/07/2006
Last updated
06/03/2009
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