Individual
ALISHA GOEDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNRA
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 228-1506
(419) 228-3352
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 228-1506
(419) 228-3352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019855
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
OH
Enumeration date
01/11/2019
Last updated
02/07/2019
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