Individual
STEPHANIE D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
285 E STATE ST, SUITE 150, COLUMBUS, OH 43215-4354
(614) 460-6100
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301784
OH
Other
Enumeration date
08/01/2007
Last updated
09/24/2008
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