Individual
MRS. ABBY NICOLE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8638
(817) 877-0350
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8638
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083721
TX
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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