Individual
MRS. RENAE SUE GOEDHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3370 S HIGHWAY 160 STE 9, PAHRUMP, NV 89048-5373
(775) 513-5038
(775) 376-9966
Mailing address
PO BOX 1089, PAHRUMP, NV 89041-1089
(775) 513-5038
(775) 376-9966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000597
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275585382
—
NV
Enumeration date
05/17/2006
Last updated
12/14/2018
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