Organization
GOEDHART MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE GOEDHART APRN (OWNER)
(702) 682-8155
Entity
Organization
Contact information
Practice address
1320 E CALVADA BOULEVARD, PAHRUMP, NV 89048
(702) 682-8155
Mailing address
1320 E CALVADA BOULEVARD, PAHRUMP, NV 89048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN000597
NV
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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