Individual
SHELBY DORIS GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-2000
(701) 234-4134
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R39844
ND
Other
Enumeration date
04/16/2021
Last updated
10/01/2021
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