Individual
AMY GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CRNA
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209024440
IL
367500000X
Certified Registered Nurse Anesthetist
ARNP9252618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012757000
—
FL
Enumeration date
06/12/2014
Last updated
04/24/2025
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