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Individual

MRS. DIANNE NICHOLE GOODBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
25201 CHAGRIN BLVD STE 180, BEACHWOOD, OH 44122-5633
(216) 464-1616
(216) 464-1618
Mailing address
60 GREENTREE RD, CHAGRIN FALLS, OH 44022-2423
(571) 527-6467

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0042528
OH

Other

Enumeration date
06/24/2026
Last updated
06/24/2026
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