Individual
MAKENZIE MARIE GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3176
Mailing address
2213 OSPREY LN, MC LEANSVILLE, NC 27301-3007
(515) 851-0799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162976
IA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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