Individual
MS. ANNA J GOODKIN
Active
Individual
MS. ANNA J GOODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043871-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30347277
MEDICAID
NH
05
—
3082731
—
NH
Enumeration date
12/18/2008
Last updated
12/10/2019
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