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Individual

MRS. ALEXANDRA NICOLE GODINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5969 N HARTFORD CT, PARK CITY, KS 67219-2255
(316) 305-1518
Mailing address
5969 N HARTFORD CT, PARK CITY, KS 67219-2255
(316) 305-1518

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137313
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
53-82643-042
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
KS
Enumeration date
03/13/2022
Last updated
11/09/2023
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