Joan Marie Goodman in Bloomington - Nurse Practitioner
Joan Marie Goodman - NPI 1700065505
Joan Marie Goodman is a Nurse Practitioner in Bloomington, Indiana. Joan Marie Goodman practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Joan Marie Goodman is 1700065505. The last update date is 2023-03-07.
Joan Marie Goodman's current location address is 918 S. Meadowbrook Dr., Bloomington, Indiana. You can contact this provider via phone number 8123322181 and fax number 8123322189. The mailing address for Joan Marie Goodman is 918 S. Meadowbrook Dr., Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Marie Goodman |
|---|---|
| Address | 918 S. Meadowbrook Dr., Bloomington, Indiana |
| Phone Number | 8123322181 |
| Fax Number | 8123322189 |
| Sole Proprietor | N |
| Credentials | RN.C., W.H |
NPI Number Detail
| NPI Number | 1700065505 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 918 S. Meadowbrook Dr. |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474074233 |
| Phone Number | 8123322181 |
| Fax Number | 8123322189 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71000412A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71000412B | IN | IN PROFESSIONAL LICENSING AGEN | |
| 71000412B | IN | IND PROFESSIONAL LICENSIN |
Post Comment/ Review Below
What is the unique identifier code issued to Joan Marie Goodman by the Centers for Medicare & Medicaid Services?
The Joan Marie Goodman has been assigned the NPI (National Provider Identifier) 1700065505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joan Marie Goodman's physical address?
The Joan Marie Goodman is physically located at 918 S. Meadowbrook Dr., in the city of Bloomington, IN, with the postal code 474074233.
What is the Joan Marie Goodman's specialty and taxonomy code?
The Joan Marie Goodman's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700065505 to Joan Marie Goodman?
The Centers for Medicare & Medicaid Services originally issued the 1700065505 to Joan Marie Goodman on 2007-10-29.
When was the information regarding Joan Marie Goodman most recently updated?
The details pertaining to the Joan Marie Goodman, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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