Individual
DANIELLE LEE GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD STE 105, TOLEDO, OH 43623-3541
(419) 479-5605
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
023909
OH
363LA2100X
Acute Care Nurse Practitioner
4704231348
MI
363LF0000X
Family Nurse Practitioner
APRN.CNP.023909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023909
OHIO LICENSE
OH
05
—
0470987
—
OH
01
—
4704231348
MI LICENSE
MI
Enumeration date
02/08/2019
Last updated
12/19/2025
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