Tara R Goodman
Nurse Practitioner - Pediatrics
1219 Main St
Hamburg
, Iowa 51640-1300
Tara R Goodman
Nurse Practitioner - Pediatrics
1219 Main St
Hamburg
, Iowa 51640-1300
(712) 382-1931
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Tara R Goodman
- 1219 Main St
- Hamburg, IA
- Zip : 51640-1300
- Fax : (712) 382-1931
- Phone : (712) 382-2626
Second Address
- Tara R Goodman
- 1219 Main St
- Hamburg, IA
- Zip : 51640-1300
- Fax : (712) 382-1931
- Phone : (712) 382-2626
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | C107297 | IA |
National Provider Identifier
| NPI | 1003102187 |
|---|---|
| Provider Name | Tara R Goodman |
| First Address | Hamburg, IA 51640-1300 |
| Second Address | Hamburg, IA 51640-1300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2011 |
| Last Update Date | 27/06/2011 |
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.