Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHLEEN ANN GOODREAU
Active Sole ProprietorNurse's Aide · WAUPACA, WI
Registration Details
- NPI Number
- 1124272323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2008 (17.445376180834 yrs)
- Last Updated
- Apr 13, 2009
- License
-
266223 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
930 9TH ST.WAUPACA, WI, 54981Browse WI providers · Browse ZIP 54981
- Phone
- 7152818524
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.