Individual
ELIZABETH GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12906 METTETAL ST, DETROIT, MI 48227-1288
(313) 828-8409
Mailing address
12906 METTETAL ST, DETROIT, MI 48227-1288
(313) 828-8409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704338080
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704338080
MI
Other
Enumeration date
06/27/2025
Last updated
04/03/2026
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