Goodwin, Nancy L
Goodwin, Nancy L is an individual health care provider with primary practice located at 7350 W Deschutes Ave B103, Kennewick WA 99336. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goodwin, Nancy L can be contacted via phone (509) 783-0144.Contact Information
Primary practice address
7350 W Deschutes Ave B103
Kennewick WA 99336
Phone: (509) 783-0144
Fax: (509) 783-8244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003410 | Washington |
Profile Details
| NPI number | 1710999149 |
|---|---|
| LBN Legal business name | Goodwin, Nancy L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Aug 3rd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710999149 | NPPES |
| Washington | MEDICAID | 8324253 |
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