Individual
KIMBERLY JEAN GOODRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7 ALFRED STREET, BALDWIN PARK II, WOBURN, MA 01801
(781) 933-6236
(781) 938-8050
Mailing address
7 ALFRED STREET, BALDWIN PARK II, WOBURN, MA 01801
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
MA
Other
Enumeration date
09/30/2019
Last updated
03/16/2022
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