Individual
ELIZABETH BARTLETT GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
158799
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430077613
RAILROAD-MEDICARE
NC
05
—
8051647
—
NC
Enumeration date
01/31/2007
Last updated
06/10/2016
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