Individual
BETH GOODWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8170 LAGUNA BLVD, SUITE 210, ELK GROVE, CA 95758-7901
(916) 691-5988
(916) 691-5949
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
662419
CA
Other
Enumeration date
11/18/2005
Last updated
07/24/2015
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