Goodenough, Theresa
Goodenough, Theresa is an sole proprietor health care provider with primary practice located at 384 S Pantops Dr , Charlottesville VA 22911-8678. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodenough, Theresa can be contacted via phone (607) 725-0980.Contact Information
Primary practice address
384 S Pantops Dr
Charlottesville VA 22911-8678
Phone: (607) 725-0980
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Wound Care | 163WW0000X | 2005453868 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024174270 | Virginia |
Profile Details
NPI number | 1649646183 |
---|---|
LBN Legal business name | Goodenough, Theresa |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2015 |
Last updated | Mar 23rd, 2020 - about 4 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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