Danielle Godwin, PA-C
Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164063509
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1164063509
- Entity type
- Individual (NPI-1)
- Name
- Danielle Godwin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2019
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601009494 | MI | Yes |
Other names
- Danielle Derbes (Former Name)
Practice location
3225 N Evergreen Dr NeGrand Rapids, MI 49525-9334
Phone 616-364-1500
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-455-5000
Other practice locations
6505 Cherry Meadow Dr Se
Caledonia, MI 49316-9484
Caledonia, MI 49316-9484
Phone 616-891-8770 · Fax 616-891-3504
300 68th St Se
Grand Rapids, MI 49548-6927
Grand Rapids, MI 49548-6927
Phone 616-455-5270
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