person
Rachel Lauren Goodwyn, ACNPC-AG
Gerontology Nurse Practitioner in Peoria, Arizona
NPI 1093362170

Rachel Lauren Goodwyn is a Gerontology Nurse Practitioner based in Peoria, AZ and is specialized in Gerontology. Rachel Lauren Goodwyn practices in Peoria, AZ and has the professional credentials of ACNPC-AG. The NPI Number for Rachel Lauren Goodwyn is 1093362170 and holds a License No. 57242 (Arizona).

The current practice location address for Rachel Lauren Goodwyn is 13460 N 94Th Dr Ste J1, Peoria, AZ and can be reached out via phone at 623-876-8816 and via fax at 623-298-0168. You can also correspond with Rachel Lauren Goodwyn through the mailing address at 13460 N 94TH DR STE J1, PEORIA, AZ - 85381-4246 (mailing address contact number: 623-876-8816).

Location: 13460 N 94Th Dr Ste J1, Peoria, AZ, 85381-4246
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Provider Profile Details
NPI Number
1093362170
Provider Name
Rachel Lauren Goodwyn
Credential
ACNPC-AG
Provider Entity Type
Individual
Gender
Female
Address
13460 N 94Th Dr Ste J1, Peoria, AZ, 85381-4246
Phone Number
623-876-8816
Fax Number
623-298-0168
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
246985 01 AZ AZ-NP LICENSE
institution
Provider Business Practice Location Address Details
Address
13460 N 94Th Dr Ste J1
City
State
Zip
85381-4246
Phone Number
623-876-8816
Fax Number
623-298-0168
person
Provider Business Mailing Address Details
Address
13460 N 94Th Dr Ste J1
City
State
Zip
85381-4246
Phone Number
623-876-8816
Fax Number
623-298-0168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
246985 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
57242 (New Mexico)
Definition
Definition to come...
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