Individual
ELDA CORDERO-GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
022765-23-02
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008850
—
NH
Enumeration date
11/08/2006
Last updated
10/20/2011
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