Individual
MS. PAULA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
424 SAVANNAH RD, BEEBE MEDICAL CENTER, LEWES, DE 19958-1462
(302) 645-3100
Mailing address
424 SAVANNAH RD, LEWES, DE 19958-1462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00420
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003795
—
DE
Enumeration date
12/07/2006
Last updated
07/06/2010
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