Individual
MRS. STEPHANIE D GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8643 SHERIDAN DR, WILLIAMSVILLE, NY 14221-6315
(716) 565-9030
(716) 565-9038
Mailing address
8643 SHERIDAN DR, WILLIAMSVILLE, NY 14221-6315
(716) 565-9030
(716) 565-9038
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382301-1
NY
Other
Enumeration date
04/17/2013
Last updated
09/25/2017
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