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Individual

MS. MAVIS ELIZABETH GODLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3514 MAIN ST, CVS HEALTH MINUTECLINIC, COVENTRY, CT 06238-1551
(860) 742-3543
Mailing address
3514 MAIN ST, CVS HEALTH MINUTECLINIC, COVENTRY, CT 06238-1551
(860) 742-3543

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5571
CT
363LF0000X
Family Nurse Practitioner
APRN00475
RI
363LF0000X
Family Nurse Practitioner
F337730
NY

Other

Enumeration date
10/16/2013
Last updated
12/03/2016
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