NPI 1003102187 · live from the CMS NPI Registry
Tara R Goodman, ARNP
Nurse Practitioner, Pediatrics in Hamburg, IA. National Provider Identifier 1003102187, active.
NPI record
| NPI | 1003102187 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1219 Main St, Hamburg, IA 51640 |
| Practice phone | 712-382-2626 |
| Enumerated | June 27, 2011 |
| Last updated | June 27, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C107297 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.