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Individual

NICOLE ELISE GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
(928) 447-5141
Mailing address
1521 N PINE CLIFF DR, FLAGSTAFF, AZ 86001-3269
(928) 440-2350

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
250702
AZ

Other

Enumeration date
04/23/2021
Last updated
06/06/2023
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