Individual
COURTNEY GOODNOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
Mailing address
1414 W 4TH ST, GILLETTE, WY 82716-3328
(307) 682-6263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
43736
WY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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