Individual
MRS. MONICA C GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12180 PARK AVE S, TACOMA, WA 98447-0014
(253) 535-7672
Mailing address
10725 CLARK RD SE, YELM, WA 98597-9524
(915) 539-9871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60478347
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61194658
WA
Other
Enumeration date
11/18/2019
Last updated
07/12/2021
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