Individual
SHAWANDA DENISE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4180 THIELMAN LN STE 100, SAINT CLOUD, MN 56301-4692
(320) 281-3154
(833) 973-4798
Mailing address
4180 THIELMAN LN STE 100, SAINT CLOUD, MN 56301-4692
(612) 229-9421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025096570
MN
Other
Enumeration date
08/24/2021
Last updated
03/10/2026
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