Goedeker, Natalie Louise

Goedeker, Natalie Louise is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Goedeker, Natalie Louise can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
1 Childrens Pl Div Neurology Pediatrics Saint Louis MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2017009933 Missouri

Profile Details

NPI number 1841715554
LBN Legal business name Goedeker, Natalie Louise
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2017
Last updated Apr 25th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841715554 NPPES
Missouri MEDICAID 420061275

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