Individual
PAULA GOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017030713
MO
Other
Enumeration date
08/24/2019
Last updated
10/09/2024
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