Individual
MS. PHYLLIS GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
16706 RIDDELL CIR, EAGLE RIVER, AK 99577-7600
(907) 696-3370
Mailing address
16706 RIDDELL CIR, EAGLE RIVER, AK 99577-7600
(907) 696-3370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1520
AK
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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