Individual
GODDESS MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
6001 STATE RD, PARMA, OH 44134-2869
(440) 731-5887
Mailing address
9462 ACKLEY RD, PARMA HEIGHTS, OH 44130-2327
(440) 731-5887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
422797
OH
164W00000X
Licensed Practical Nurse
156494
OH
363L00000X
Nurse Practitioner
Primary
0040242
OH
Other
Enumeration date
08/24/2014
Last updated
01/12/2026
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