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Molly Goodman, NP
Family Nurse Practitioner in Bridgeton, Missouri
NPI 1164013934

Molly Goodman is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Molly Goodman practices in Bridgeton, MO and has the professional credentials of NP. The NPI Number for Molly Goodman is 1164013934 and holds a License No. 2020008728 (Missouri).

The current practice location address for Molly Goodman is 12409 Saint Charles Rock Rd, Bridgeton, MO and can be reached out via phone at 314-455-4046.

Location: 12409 Saint Charles Rock Rd, Bridgeton, MO, 63119-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164013934
Provider Name
Molly Goodman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12409 Saint Charles Rock Rd, Bridgeton, MO, 63119-3540
Phone Number
314-455-4046
Fax Number
Provider Enumeration Date
02/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12409 Saint Charles Rock Rd
City
Bridgeton
State
Missouri
Zip
63044-2507
Phone Number
314-455-4046
Fax Number
person
Provider Business Mailing Address Details
Address
12409 Saint Charles Rock Rd
City
Bridgeton
State
Missouri
Zip
63044-2507
Phone Number
314-455-4046
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2020008728 (Missouri)
Definition
Definition to come...
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