Individual
MRS. AMY LEE GOEDECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
401 E MAIN ST, WHITESBORO, TX 76273-1805
(903) 564-7709
(903) 564-7090
Mailing address
401 E MAIN ST, WHITESBORO, TX 76273-1805
(903) 564-7709
(903) 564-7090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
87252
OK
363LF0000X
Family Nurse Practitioner
Primary
AP129412
TX
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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