Individual
MARIA GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4012497
KY
363LA2100X
Acute Care Nurse Practitioner
209.017461
IL
Other
Enumeration date
07/31/2018
Last updated
01/16/2024
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