Individual
ELIZABETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 AVENIDA DEL SUR, SANTA FE, NM 87508-1565
(505) 467-2105
Mailing address
310 AVENIDA DEL SUR, SANTA FE, NM 87508-1565
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-81270
NM
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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