Laura A Goode
Nurse Practitioner - Pediatrics
30 Prospect Ave
Hackensack
, New Jersey 07601-1914
Laura A Goode
Nurse Practitioner - Pediatrics
30 Prospect Ave
Hackensack
, New Jersey 07601-1914
(201) 457-1885
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Laura A Goode
- 156 Oakwood Ave
- Bogota, NJ
- Zip : 07603-1722
- Fax : (201) 457-1885
- Phone : (201) 996-5437
Second Address
- Laura A Goode
- 30 Prospect Ave
- Hackensack, NJ
- Zip : 07601-1914
- Fax : (201) 457-1885
- Phone : (201) 996-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NO07828400 | NJ |
National Provider Identifier
| NPI | 1043263486 |
|---|---|
| Provider Name | Laura A Goode |
| First Address | Bogota, NJ 07603-1722 |
| Second Address | Hackensack, NJ 07601-1914 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P22330 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.