Individual
MR. TODD NICHOLAS HAMILTON GOODENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-4115
Mailing address
1441 KINGSFORD DR, CARMICHAEL, CA 95608-6162
(305) 890-7273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9293640
FL
363L00000X
Nurse Practitioner
APRN9293640
FL
363LA2200X
Adult Health Nurse Practitioner
9293640
FL
363LG0600X
Gerontology Nurse Practitioner
95002588
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61337929
WA
Other
Enumeration date
06/03/2013
Last updated
02/07/2024
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