person
Chad Brian Gooderham, FNP
Family Nurse Practitioner in Fort Wainwright, Alaska
NPI 1639153091

Chad Brian Gooderham is a Family Nurse Practitioner based in Fairbanks, AK and is specialized in Family. Chad Brian Gooderham practices in Fort Wainwright, AK and has the professional credentials of FNP. The NPI Number for Chad Brian Gooderham is 1639153091 and holds a License No. 1927-033 (Alaska).

The current practice location address for Chad Brian Gooderham is 1060 Gaffney Rd, Fort Wainwright, AK and can be reached out via phone at 907-353-5286.

Location: 1060 Gaffney Rd, Fort Wainwright, AK, 99701-3811
person
Provider Profile Details
NPI Number
1639153091
Provider Name
Chad Brian Gooderham
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1060 Gaffney Rd, Fort Wainwright, AK, 99701-3811
Phone Number
907-353-5286
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1060 Gaffney Rd
City
State
Zip
99703-5001
Phone Number
907-353-5286
Fax Number
person
Provider Business Mailing Address Details
Address
1060 Gaffney Rd
City
State
Zip
99703-5001
Phone Number
907-353-5286
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1927-033 (Wisconsin)
Definition
Definition to come...
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