Individual
VICKI L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(262) 408-5094
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(262) 408-5094
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
148838-32
WI
367A00000X
Advanced Practice Midwife
Primary
148838-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508197815
—
WI
Enumeration date
01/26/2010
Last updated
07/23/2026
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