Individual
MS. DIANNA JEAN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 N 1900 E RM 4C104, DEPT OF INTERNAL MEDICINE, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 419-4787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6925224-4402
UT
Other
Enumeration date
06/26/2015
Last updated
11/02/2021
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