Goodwin, Heidi A

Goodwin, Heidi A is an individual health care provider with primary practice located at 3909 Orange Place , Beachwood OH 44122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodwin, Heidi A can be contacted via phone (216) 844-0080.

Contact Information

Primary practice address
3909 Orange Place Beachwood OH 44122
Phone: (216) 844-0080
Fax: (216) 844-7874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X COA.10210-NM Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.10997-NP Ohio

Profile Details

NPI number 1154578722
LBN Legal business name Goodwin, Heidi A
Credentials MSN CNM CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Jan 12th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154578722 NPPES
Ohio MEDICAID 2888068
Ohio Other P00972483
Ohio MEDICAID 0062218

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