Individual
LAURA GOODRICH
Active
Individual
LAURA GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001-171423
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-164460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938083
—
VA
05
—
8938105
—
VA
05
—
8938113
—
VA
05
—
8938121
—
VA
05
—
8938130
—
VA
Enumeration date
04/21/2006
Last updated
03/28/2011
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