Individual
MRS. KATHERINE A GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP CNM
Contact information
Practice address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-1812
(907) 789-7168
Mailing address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-1812
(907) 789-7168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
786627
AK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
786627
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NE78661
—
AK
Enumeration date
05/10/2006
Last updated
10/26/2007
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