Astasia C Goodenough, FNP
Nurse Practitioner, Family in Troy, MI. Individual provider (NPI-1).
NPI number1669940409
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1669940409
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Astasia C Goodenough
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2018
- Last updated
- Nov 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704269902 | MI | Yes |
Practice location
5680 Wright DrTroy, MI 48098-2917
Phone 248-925-8256
Mailing address
5680 Wright DrTroy, MI 48098-2917
Phone 248-925-8256
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