Individual
ANGELA K GOODBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3124 NUMANA RD, HONOLULU, HI 96819-2908
(808) 722-9175
(808) 832-3538
Mailing address
3124 NUMANA RD, HONOLULU, HI 96819-2908
(808) 722-9175
(808) 832-3538
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN 428
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240630
HAWAII MEDICAL SERVICE ASSOCIATION
HI
Enumeration date
01/22/2010
Last updated
01/22/2010
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