Individual
AMY D GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3728 S PINNACLE HILLS PKWY STE 100, ROGERS, AR 72758-7031
(970) 379-5531
Mailing address
6303 SW RUTLAND RD APT 302, BENTONVILLE, AR 72713-8186
(970) 379-5531
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2974
CA
367500000X
Certified Registered Nurse Anesthetist
227213
AR
367500000X
Certified Registered Nurse Anesthetist
CRNA-183907
CO
367500000X
Certified Registered Nurse Anesthetist
CRNA000233
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503782
—
NV
Enumeration date
08/18/2005
Last updated
04/21/2026
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