Individual
MRS. MISTI MICHELLE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 867-3242
Mailing address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 867-3242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-095519
AL
163W00000X
Registered Nurse
RN9269445
FL
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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