Individual
SONYA K. GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
515 W MAIN ST, ELMA, WA 98541-9285
(360) 861-8700
(360) 861-8711
Mailing address
1171 HART ST, CANTON, MS 39046-4805
(601) 859-9888
(601) 859-9004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP61669968
WA
363LF0000X
Family Nurse Practitioner
Primary
R850539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09289510
—
MS
01
—
P00218140
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
10/06/2025
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