Individual
MARIA ELENA GODINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403
(262) 687-5600
Mailing address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8637
WI
Other
Enumeration date
05/29/2018
Last updated
08/24/2018
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