Individual
ALICIA NICOLE GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
898 CORNETT BRANCH RD, LAKE OZARK, MO 65049-9356
(573) 434-1276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021012241
MO
Other
Enumeration date
05/27/2021
Last updated
07/15/2021
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