Individual
MARJORIE ANN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-PC MA
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
129 CHISWICK RD, #7, BRIGHTON, MA 02135-5314
(617) 782-5192
Taxonomy
Speciality
Code
Description
License number
State
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
114364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-01551
EVERCARE
MA
01
—
P00169878
RAIL ROAD MEDICARE
MA
Enumeration date
07/11/2006
Last updated
10/22/2007
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