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Shantivia Boneparte Goodwin
Emergency Registered Nurse in Monroe, North Carolina
NPI 1740892983

Shantivia Boneparte Goodwin is a Emergency Registered Nurse based in Monroe, NC and is specialized in Emergency. Shantivia Boneparte Goodwin practices in Monroe, NC. The NPI Number for Shantivia Boneparte Goodwin is 1740892983 and holds a License No. 268305 (North Carolina).

The current practice location address for Shantivia Boneparte Goodwin is 2020 Ashcraft Ave, Monroe, NC and can be reached out via phone at 704-292-7152.

Location: 2020 Ashcraft Ave, Monroe, NC, 28110-3720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740892983
Provider Name
Shantivia Boneparte Goodwin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2020 Ashcraft Ave, Monroe, NC, 28110-3720
Phone Number
704-292-7152
Fax Number
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 Ashcraft Ave
City
Monroe
State
North Carolina
Zip
28110-3720
Phone Number
704-292-7152
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Ashcraft Ave
City
Monroe
State
North Carolina
Zip
28110-3720
Phone Number
704-292-7152
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
268305 (North Carolina)
Definition
Definition to come...
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