Individual
MRS. ASTASIA C GOODENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5680 WRIGHT DR, TROY, MI 48098-2917
(248) 925-8256
Mailing address
5680 WRIGHT DR, TROY, MI 48098-2917
(248) 925-8256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269902
MI
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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