Individual
NICOLE GOODROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
911 E 20TH ST STE 700, SIOUX FALLS, SD 57105-1049
(605) 334-0393
Mailing address
911 E 20TH ST, STE 700, SIOUX FALLS, SD 57105-1049
(605) 334-0393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001646
SD
Other
Enumeration date
09/27/2019
Last updated
12/11/2019
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