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Mary Lisa Goodman, NURSEPRACTITIONER
Adult Health Nurse Practitioner in New Port Richey, Florida
NPI 1265105803

Mary Lisa Goodman is an Adult Health Nurse Practitioner based in Tampa, FL and is specialized in Adult Health. Mary Lisa Goodman practices in New Port Richey, FL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Mary Lisa Goodman is 1265105803 and holds a License No. 11014405 (Florida).

The current practice location address for Mary Lisa Goodman is 1807 Short Branch Dr Ste 102, New Port Richey, FL and can be reached out via phone at 727-376-3547.

Location: 1807 Short Branch Dr Ste 102, New Port Richey, FL, 33611-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265105803
Provider Name
Mary Lisa Goodman
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1807 Short Branch Dr Ste 102, New Port Richey, FL, 33611-5602
Phone Number
727-376-3547
Fax Number
Provider Enumeration Date
07/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1807 Short Branch Dr Ste 102
City
New Port Richey
State
Florida
Zip
34655-4424
Phone Number
727-376-3547
Fax Number
person
Provider Business Mailing Address Details
Address
1807 Short Branch Dr Ste 102
City
New Port Richey
State
Florida
Zip
34655-4424
Phone Number
727-376-3547
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
11014405 (Florida)
Definition
Definition to come...
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