Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 1485905121 | KS |
N | 363L00000X | Nurse Practitioner | 155558 | MO |
Y | 363LC1500X | Nurse Practitioner - Community Health | 27454.1008 | WY |
NPI | 1588752869 |
---|---|
Provider Name | Melanie E Goodnight |
First Address | Sheridan, WY 82801-2723 |
Second Address | Sheridan, WY 82801-2723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 26/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
W24971 | (02) | WY |