Individual provider · NPI-1

Gretchen Laurel Goodnight, ANP

Nurse Practitioner, Family · Mena, AR

NPI number1134425705
StatusActive
Last updated in NPPESMar 30, 2023

Details

NPI
1134425705
Entity type
Individual (NPI-1)
Name
Gretchen Laurel Goodnight
Credential
ANP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2011
Certification date
Mar 30, 2023
Last updated
Mar 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA003488ARYes

Practice location

403 Morrow St N Ste D
Mena, AR 71953-4324

Phone 479-437-6080 · Fax 479-437-6079

Mailing address

403 Morrow St N Ste D
Mena, AR 71953-4324

Phone 479-437-6080 · Fax 479-437-6079

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