Individual
DR. LOUANNIE THOMAS GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 127, PHOENIX, AZ 85037-2388
(623) 931-3028
(623) 931-3029
Mailing address
9827 N 95TH ST STE 105, SCOTTSDALE, AZ 85258-4591
(623) 931-3028
(623) 931-3029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
293711
AZ
363LP0200X
Pediatric Nurse Practitioner
293711
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132900
—
AZ
Enumeration date
06/29/2023
Last updated
06/17/2025
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