Individual
MRS. GRETCHEN L REINFELDT-GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15255 N 40TH ST, SUITE 105, PHOENIX, AZ 85032-4636
(602) 867-2690
(602) 404-1904
Mailing address
15255 N 40TH ST, SUITE105, PHOENIX, AZ 85032-4636
(602) 867-2690
(602) 404-1904
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP1984
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN092930
AZ LICENSE NUMBER
AZ
Enumeration date
07/23/2006
Last updated
03/07/2023
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