Nancy L Goodwin in Kennewick - Physician Assistant

Nancy L Goodwin - NPI 1710999149

Nancy L Goodwin is a Physician Assistant in Kennewick, Washington. Nancy L Goodwin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nancy L Goodwin is 1710999149. The last update date is 2007-08-03.

Nancy L Goodwin's current location address is 7350 W Deschutes Ave, Kennewick, Washington. You can contact this provider via phone number 5097830144 and fax number 5097838244. The mailing address for Nancy L Goodwin is 7350 W Deschutes Ave, Kennewick, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy L Goodwin
Address 7350 W Deschutes Ave, Kennewick, Washington
Phone Number 5097830144
Fax Number 5097838244
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1710999149
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-08-03

Provider Mailing Address Detail

Address 7350 W Deschutes Ave
City Kennewick
State Washington (WA)
Post Code 99336
Phone Number 5097830144
Fax Number 5097838244

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10003410
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8324253 WA --

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FAQs about Nancy L Goodwin

Can you provide the Nancy L Goodwin's physical address?

The Nancy L Goodwin is physically located at 7350 W Deschutes Ave, in the city of Kennewick, WA, with the postal code 99336.

What is Nancy L Goodwin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nancy L Goodwin is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Nancy L Goodwin receive its 1710999149 assignment from the Centers for Medicare & Medicaid Services?

The Nancy L Goodwin was assigned its 1710999149 by the Centers for Medicare & Medicaid Services on 2006-08-13.

As of what date were the Nancy L Goodwin's details last updated?

The information pertaining to the Nancy L Goodwin, including its address, specialty, and other details, was most recently updated on 2007-08-03.

As of what date were the details related to Nancy L Goodwin most recently updated or revised?

The information pertaining to Nancy L Goodwin, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-03.

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