Individual
DONNA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
36711 AMERICAN WAY, SUITE A, AVON, OH 44011
(440) 653-8091
Mailing address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
(440) 455-3353
(216) 450-1810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230368
—
OH
01
—
4795437
AETNA
OH
01
—
H580720
MEDICARE
OH
Enumeration date
06/27/2017
Last updated
07/21/2022
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