Mikaela R Goodwater, FNP-C
NPI #1154143089 in Canon City, Colorado
Provider Information
- NPI Number
- 1154143089
- Entity Type
- Individual
- Name
- Mikaela R Goodwater, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Oct 30, 2024
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 715 S 9TH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4911
- Phone
- (719) 269-8820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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