Stacey L Godman, CRNP
Nurse Practitioner in Woburn, Massachusetts
1689902595- Practice location
- 12 Gill St, Woburn, MA 01801-1765
- Phone
- 781-939-7397
- Fax
- —
- Last updated
- December 9, 2009
Stacey Lynn Godman is a Nurse Practitioner based in Woburn, MA. Stacey Lynn Godman practices in Woburn, MA and has the professional credentials of CRNP. The NPI Number for Stacey Lynn Godman is 1689902595 and holds a License No. SP010635 (PA). The current practice location address for Stacey Lynn Godman is 12 Gill St, Woburn, MA 01801-1765 and can be reached out via phone at 781-939-7397.
Provider Profile Details
- NPI Number
- 1689902595
- Provider Name
- Stacey Lynn Godman
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Gill St, Woburn, MA 01801-1765
- Phone Number
- 781-939-7397
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 4, 2009
- Last Update Date
- December 9, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Gill St
Woburn, MA 01801-1765 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-1765
- Phone Number
- 781-939-7397
Provider Business Mailing Address Details
- Address
- 1302 Bradford CT
Phoenixville, PA 19460-4810 - City
- Phoenixville
- State
- PA
- Zip
- 19460-4810
- Phone Number
- 610-935-4608
License Information
- License Number (1)
- SP010635
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X · Primary
- License Number (2)
- RN546954
- License State (2)
- PA
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stacey L Godman, CRNP?
The NPI number of Stacey L Godman, CRNP is 1689902595. It was assigned on December 4, 2009 and is currently active in the NPPES registry.
What is the specialty of Stacey L Godman, CRNP?
Stacey L Godman, CRNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in PA under license number SP010635.
Where does Stacey L Godman, CRNP practice?
The practice location is 12 Gill St, Woburn, MA 01801-1765. The office can be reached at 781-939-7397 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689902595 directly on the NPPES registry website.