Individual
MRS. HEIDI A GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CNM CNP
Contact information
Practice address
3909 ORANGE PLACE, BEACHWOOD, OH 44122
(216) 844-0080
(216) 844-7874
Mailing address
3909 ORANGE PL STE 4400, BEACHWOOD, OH 44122-4482
(216) 844-0080
(216) 896-1776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.10997-NP
OH
367A00000X
Advanced Practice Midwife
COA.10210-NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062218
—
OH
05
—
2888068
—
OH
01
—
P00972483
RAILROAD MEDICARE
OH
Enumeration date
08/26/2008
Last updated
01/12/2021
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