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Cheryl Goddard, CRNP
Family Nurse Practitioner in Randallstown, Maryland
NPI 1942278510

Cheryl Goddard is a Family Nurse Practitioner based in Baltimore, MD and is specialized in Family. Cheryl Goddard practices in Randallstown, MD and has the professional credentials of CRNP. The NPI Number for Cheryl Goddard is 1942278510 and holds a License No. R087591 (Maryland).

The current practice location address for Cheryl Goddard is 9109 Liberty Rd, Randallstown, MD and can be reached out via phone at 410-655-7373.

Location: 9109 Liberty Rd, Randallstown, MD, 21212-4021
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Provider Profile Details
NPI Number
1942278510
Provider Name
Cheryl Goddard
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
9109 Liberty Rd, Randallstown, MD, 21212-4021
Phone Number
410-655-7373
Fax Number
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64769601 01 MD CAREFIRST BC OF MD IND #
0119 01 DC CAREFIRST BC OF NCA IND #
institution
Provider Business Practice Location Address Details
Address
9109 Liberty Rd
City
State
Zip
21133-3521
Phone Number
410-655-7373
Fax Number
person
Provider Business Mailing Address Details
Address
9109 Liberty Rd
City
State
Zip
21133-3521
Phone Number
410-655-7373
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R087591 (Maryland)
Definition
Definition to come...
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