Individual
BRANDY AMBERLYN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10159 E 11TH ST, TULSA, OK 74128-3058
(918) 686-3246
Mailing address
10159 E 11TH ST, TULSA, OK 74128-3058
(918) 686-3246
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R0110609
OK
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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