Individual
ANDREA M. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANCP, MSN
Contact information
Practice address
3601 CCI DR NW, HUNTSVILLE, AL 35805-2606
(256) 705-4224
(256) 705-4135
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-107656
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-107656
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-107656
LICENSE
AL
Enumeration date
04/18/2006
Last updated
01/27/2023
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