Individual
MEGHAN ASHLEY GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9100
Mailing address
2228 HICKORY HILLS RD, MUSCATINE, IA 52761-9583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133965
IA
363L00000X
Nurse Practitioner
D155451
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D155451
IA
Other
Enumeration date
03/30/2017
Last updated
04/27/2020
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