Chentile S Goodman, MSN, CRNP, ACNPC-AG
Nurse Practitioner in Westminster, MD. Individual provider (NPI-1).
NPI number1366149122
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1366149122
- Entity type
- Individual (NPI-1)
- Name
- Chentile S Goodman
- Credential
- MSN, CRNP, ACNPC-AG
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2023
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R215731 | MD | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | R215731 | MD | |
| 363LA2100X | Nurse Practitioner, Acute Care | R215731 | MD |
Practice location
826 Washington Rd Ste 204Westminster, MD 21157-5780
Phone 410-525-5144 · Fax 410-970-4648
Mailing address
11332 Market StFulton, MD 20759-2645
Phone 619-507-7689
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