Wanda Jean Goodrich
Licensed Practical Nurse in Kennett, MO. Individual provider (NPI-1).
NPI number1194356576
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1194356576
- Entity type
- Individual (NPI-1)
- Name
- Wanda Jean Goodrich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2007026784 | MO | Yes |
Practice location
935 State Route VvKennett, MO 63857-3822
Phone 573-888-5925
Mailing address
935 State Route VvKennett, MO 63857-3822
Phone 573-888-5925
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All 34 Licensed Practical Nurse providers in Kennett · All 955 providers in Kennett
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