Individual
ANDREW ROBERT GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPMHNP-BC
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(844) 680-0504
Mailing address
10815 NE 78TH CT, BONDURANT, IA 50035-1309
(515) 371-9524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G164620
IA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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