Individual
MRS. AMANDA N GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN MSN FNP-BC
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
(240) 566-7754
Mailing address
1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178831
VA
363LF0000X
Family Nurse Practitioner
Primary
R205859
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245878107
—
VA
01
—
VVY194A
MEDICARE PTAN
VA
Enumeration date
12/11/2019
Last updated
08/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up