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Individual

YUKIKO KOBAYASHI GOODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3300 PROVIDENCE DR STE B104, ANCHORAGE, AK 99508-4690
(907) 212-7997
(907) 212-8225
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
183261
AK
363L00000X
Nurse Practitioner
Primary
183261
AK
363LP2300X
Primary Care Nurse Practitioner
3010
HI

Other

Enumeration date
08/26/2020
Last updated
06/06/2023
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