Individual
STEPHANIE MARVA GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
94 MIDIAN AVE, WINDSOR, CT 06095-4221
(860) 920-8320
Mailing address
94 MIDIAN AVE, WINDSOR, CT 06095-4221
(860) 920-8320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17236
CT
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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