Stanley Gooding, FNP

NPI #1679019400 in Godfrey, Illinois

Provider Information

NPI Number: 1679019400
Entity Type: Individual
Name: Stanley Gooding, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner - Family
Credential: FNP
Enumeration Date: Jan 18, 2017
Last Updated: Apr 5, 2017

Practice Location

Address: 5520 GODFREY RD
Address 2: STE B
City: Godfrey
State: Illinois
ZIP Code: 62035-2741
Phone: (618) 463-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Registered Nurse	163W00000X
Nurse Practitioner - Family — Family	363LF0000X	Primary

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