Individual
ERIN MARIE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9530
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9543
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7116-33
WI
363LF0000X
Family Nurse Practitioner
Primary
AP61027940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220212
—
WA
01
—
AP61027940
LICENSE NUMBER
WA
Enumeration date
08/08/2016
Last updated
02/01/2023
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