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Individual

WILLIAM GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
5053 MAIN ST, MANCHESTER CENTER, VT 05255-9771
(802) 293-2929
(802) 419-8311
Mailing address
704 STAPLES RD, DANBY, VT 05739-9341
(802) 293-2929
(802) 419-8311

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP9309446
FL
363L00000X
Nurse Practitioner
Primary
101-0107976
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04087821
NY
05
1024223
VT
Enumeration date
11/06/2013
Last updated
05/10/2017
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