Individual
HEATHER M GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3210
(217) 383-3510
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021942
IL
Other
Enumeration date
04/05/2021
Last updated
04/21/2021
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