Individual
TARYNA J GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
496 SHOUP AVE. W, SUITE E, TWIN FALLS, ID 83301-5043
(208) 733-2885
(208) 734-3352
Mailing address
496 SHOUP AVE W, SUITE E, TWIN FALLS, ID 83301-5043
(208) 733-2885
(208) 734-3352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-767
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807733300
—
ID
Enumeration date
09/02/2006
Last updated
01/25/2013
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