Tina Goodpasture, FNP
Nurse Practitioner, Family in Greensboro, NC. Individual provider (NPI-1).
NPI number1376791673
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1376791673
- Entity type
- Individual (NPI-1)
- Name
- Tina Goodpasture
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2008
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5004054 | NC | Yes |
Practice location
1103 N Elm StSuite 300
Greensboro, NC 27401-6309
Phone 336-271-3331 · Fax 336-271-3724
Mailing address
1103 N Elm StSuite 300
Greensboro, NC 27401-6309
Phone 336-271-3331 · Fax 336-271-3724
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