Individual
MRS. COLLEEN KING GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MA, FNP-BC, CNE
Contact information
Practice address
1404 S MAIN CHAPEL WAY STE 104, GAMBRILLS, MD 21054-1860
(443) 814-9108
Mailing address
2947 ROBIN RD, YORK, PA 17404-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R201512
MD
2255A2300X
Athletic Trainer
—
—
363LF0000X
Family Nurse Practitioner
Primary
R201512
MD
Other
Enumeration date
08/31/2005
Last updated
02/14/2023
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