Individual
MARIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
380 WASHINGTON ST, BOYDTON, VA 23917-3415
(434) 738-6420
(434) 738-6054
Mailing address
380 WASHINGTON ST, BOYDTON, VA 23917-3415
(434) 738-6420
(434) 738-6054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173918
VA
363LF0000X
Family Nurse Practitioner
R0349979
SD
Other
Enumeration date
07/20/2016
Last updated
01/22/2019
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