Individual
ERIN GOODFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
746 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3486
(208) 814-7230
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
66194
ID
Other
Enumeration date
02/17/2021
Last updated
04/18/2022
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