Individual
SUSAN JOY GOODEMOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
308 8TH ST N, MOUNTAIN LAKE, MN 56159-1568
(507) 427-3332
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173042
MN
363LF0000X
Family Nurse Practitioner
Primary
3929
MN
Other
Enumeration date
09/20/2017
Last updated
01/16/2024
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