Individual
CANDACE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1200 S AIR DEPOT BLVD STE O, MIDWEST CITY, OK 73110-4848
(405) 931-9811
Mailing address
2129 RUNNING BRANCH RD, EDMOND, OK 73013-6648
(918) 721-3902
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
222173
OK
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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