Individual
ELIZABETH SHELLY GOODIEL
Active
Individual
ELIZABETH SHELLY GOODIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.F.A,M.S.N.,CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001074325
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024074325
VA
367A00000X
Advanced Practice Midwife
Primary
0001074325
VA
Other
Enumeration date
01/09/2007
Last updated
10/13/2007
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