Individual
JENNIFER E. GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
(215) 707-8028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN32360L
PA
367500000X
Certified Registered Nurse Anesthetist
070024
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN323360L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1436283
HIGHMARK
PA
01
—
2120741000
INDEP. BLUE CROSS
PA
01
—
50007108
CAPITAL ADVANTAGE
PA
01
—
82849
GEISINGER
PA
Enumeration date
09/16/2005
Last updated
05/15/2018
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