Individual
MRS. HEATHER GOODWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
Mailing address
132 IVY GLEN CT, WINSTON SALEM, NC 27127-4501
(336) 601-1580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024178970
VA
367500000X
Certified Registered Nurse Anesthetist
224279
NC
Other
Enumeration date
09/03/2014
Last updated
03/24/2020
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