Individual
COLLEEN K GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 N MAIN ST, GREENVILLE, PA 16125
(724) 588-9830
(724) 588-9860
Mailing address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(724) 588-9830
(724) 588-9860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP006301B
PA
Other
Enumeration date
07/18/2006
Last updated
10/10/2019
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