Carol Ann Goeken in Modesto - Nurse Practitioner
Carol Ann Goeken - NPI 1336323153
Carol Ann Goeken is a Nurse Practitioner in Modesto, California. Carol Ann Goeken practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carol Ann Goeken is 1336323153. The last update date is 2011-03-18.
Carol Ann Goeken's current location address is 1209 Woodrow Ave Ste B10, Modesto, California. You can contact this provider via phone number 2095585312 and fax number 2095585310. The mailing address for Carol Ann Goeken is 1209 Woodrow Ave Ste B10, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ann Goeken |
|---|---|
| Address | 1209 Woodrow Ave Ste B10, Modesto, California |
| Phone Number | 2095585312 |
| Fax Number | 2095585310 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336323153 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
| Address | 1209 Woodrow Ave Ste B10 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953501273 |
| Phone Number | 2095585312 |
| Fax Number | 2095585310 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP8719 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Carol Ann Goeken by the Centers for Medicare & Medicaid Services?
The Carol Ann Goeken has been issued the NPI (National Provider Identifier) 1336323153 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Carol Ann Goeken's facilities are situated?
The facilities of Carol Ann Goeken are physically located at the following address: 1209 Woodrow Ave Ste B10, Modesto, CA, 953501273.
What is the Carol Ann Goeken's specialty and taxonomy code?
The Carol Ann Goeken's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Carol Ann Goeken's 1336323153 issued?
The Carol Ann Goeken's 1336323153 was issued on 2007-12-28.
As of what date were the details pertaining to Carol Ann Goeken last refreshed?
The information related to the Carol Ann Goeken, including its address, specialty, and other relevant details, was last updated on 2011-03-18.