Individual
DEDRA C GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9669 E 146TH ST STE 250, NOBLESVILLE, IN 46060-5006
(317) 621-5719
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2014014914
WV
363LF0000X
Family Nurse Practitioner
Primary
71008322A
IN
363LF0000X
Family Nurse Practitioner
COA.16884-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109921
—
OH
05
—
3810027996
—
WV
01
—
P01529305
RAILROAD MEDICARE
OH
Enumeration date
08/05/2014
Last updated
06/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us