Godfrey, Erin Marie
Godfrey, Erin Marie is an individual health care provider with primary practice located at 2690 Ne Kresky Ave , Chehalis WA 98532-2412. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Godfrey, Erin Marie can be contacted via phone (360) 330-9595.Contact Information
Primary practice address
2690 Ne Kresky Ave
Chehalis WA 98532-2412
Phone: (360) 330-9595
Fax: (360) 330-9530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7116-33 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP61027940 | Washington |
Profile Details
NPI number | 1902350937 |
---|---|
LBN Legal business name | Godfrey, Erin Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2016 |
Last updated | Feb 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902350937 | NPPES |
Washington | MEDICAID | 220212 | |
Washington | Other | AP61027940 |
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