Individual
MRS. ALYSSA MICHELLE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W MAIN ST STE 340, TROY, OH 45373-3384
(937) 980-7460
Mailing address
600 W MAIN ST STE 340, TROY, OH 45373-3384
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0028282
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0028282
OH
Other
Enumeration date
08/26/2021
Last updated
03/31/2025
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