Individual
ANDREA FAITH GOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
901 PLANTATION RD STE 3, BLACKSBURG, VA 24060-3821
(540) 961-1058
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024185992
VA
363LF0000X
Family Nurse Practitioner
Primary
0024185992
VA
Other
Enumeration date
12/08/2022
Last updated
07/04/2024
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