Individual
ERICA M GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4333
Mailing address
7956 VAUGHN RD # 165, MONTGOMERY, AL 36116-6625
(888) 233-1493
(855) 999-1345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
20835
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
R889585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999
—
MS
Enumeration date
06/10/2015
Last updated
05/15/2025
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