Individual
JULIE ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831-1466
(804) 717-5300
(804) 746-7269
Mailing address
11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831-1466
(804) 717-5300
(804) 746-7269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170337
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
09/05/2012
Last updated
09/11/2014
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