Individual
STACIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4590
(419) 291-2280
Mailing address
2130 W CENTRAL AVE, TOLEDO, OH 43606-3818
(419) 460-4909
(419) 291-2280
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
RN331228
OH
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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