Individual
MISTY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1619 W DELGADO AVE, BELEN, NM 87002-2805
(505) 966-1300
Mailing address
4511 ROBIN AVE NE, ALBUQUERQUE, NM 87110-5022
(806) 283-1676
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
935538
TX
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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