Individual
LADONNA F GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
60 S STOCKWELL RD, EVANSVILLE, IN 47714-0247
(812) 476-5437
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27015459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240880
—
IN
Enumeration date
06/02/2008
Last updated
10/09/2015
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