Paula Goodridge
Nurse Practitioner, Family in Maryville, MO. Individual provider (NPI-1).
NPI number1982251856
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1982251856
- Entity type
- Individual (NPI-1)
- Name
- Paula Goodridge
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2019
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2017030713 | MO | Yes |
Practice location
2016 S Main StMaryville, MO 64468-2655
Phone 660-562-2600
Mailing address
2016 S Main StMaryville, MO 64468-2655
Phone 660-562-2600 · Fax 660-562-7994
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