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Ms. Laura Sue Goodwin, RN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in San Diego, California
NPI 1689615197

Laura Sue Goodwin is a Psychiatric/Mental Health Nurse Practitioner based in Flower Mound, CA and is specialized in Psychiatric/Mental Health. Laura Sue Goodwin practices in San Diego, CA and has the professional credentials of RN,PMHNP. The NPI Number for Laura Sue Goodwin is 1689615197 and holds a License No. 608881 (California).

The current practice location address for Laura Sue Goodwin is 4715 Viewridge Ave, San Diego, CA and can be reached out via phone at 800-257-8715 and via fax at 800-819-1655.

Location: 4715 Viewridge Ave, San Diego, CA, 75028-1010
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Provider Profile Details
NPI Number
1689615197
Provider Name
Laura Sue Goodwin
Credential
RN,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
4715 Viewridge Ave, San Diego, CA, 75028-1010
Phone Number
800-257-8715
Fax Number
800-819-1655
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175547203 05 TX
175547202 05 TX
8N9636 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4715 Viewridge Ave
City
State
Zip
92123-1658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider Business Mailing Address Details
Address
4715 Viewridge Ave
City
State
Zip
92123-1658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
608881 (Texas)
Definition
Definition to come...
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