Organization
ERIN ROONEY-GODIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN MARIE ROONEY-GODIN RN,BSN (REGISTERED NURSE)
(414) 573-7000
Entity
Organization
Contact information
Practice address
2724 NORTHVIEW RD UNIT 41, WAUKESHA, WI 53188-2035
(414) 573-7000
Mailing address
2724 NORTHVIEW RD UNIT 41, WAUKESHA, WI 53188-2035
(414) 573-7000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
156229-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1944
—
WY
Enumeration date
04/29/2014
Last updated
04/29/2014
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