Individual
CHENTILE S GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, ACNPC-AG
Contact information
Practice address
826 WASHINGTON RD STE 204, WESTMINSTER, MD 21157-5780
(410) 525-5144
(410) 970-4648
Mailing address
11332 MARKET ST, FULTON, MD 20759-2645
(619) 507-7689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R215731
MD
363LA2100X
Acute Care Nurse Practitioner
R215731
MD
363LA2200X
Adult Health Nurse Practitioner
R215731
MD
Other
Enumeration date
02/13/2023
Last updated
03/04/2024
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