Individual
MRS. AMANDA MERCEDES GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 LA CROSS ST, HUDSON FALLS, NY 12839-1415
(518) 746-3310
Mailing address
13 BROADVIEW TER, GRANVILLE, NY 12832-1101
(518) 742-9148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
797024
NY
163WS0200X
School Registered Nurse
Primary
797024
NY
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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