Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WENDY MONIQUE GOODRICH, PA C
ActiveWENDY MONIQUE GOODRICH, PA C is a Physician Assistant healthcare provider located in MOSCOW, Idaho. NPI 1255400388 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOSCOW, ID
Registration Details
- NPI Number
- 1255400388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.72942075775 yrs)
- Last Updated
- Jul 19, 2024
- Licenses
-
5747 (GA)PA-1297 (ID)PA030391 (DC)
Practice Information
- Address
-
623 S MAIN ST STE 1MOSCOW, ID, 838432983Browse ID providers · Browse ZIP 83843
- Phone
- 2088822011
- Fax
- 2088831853
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Internal Medicine
Other Physician Assistant Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| STEVEN EUGENE FISCHER | PAC | 1811961881 |
| MATTHEW LASSEN | PA-C | 1932599214 |
| RACHEL ENSLEY | PA-C | 1164905865 |
| JESSICA ALEXANDRA CRUZ | MPAS, PA-C | 1952942195 |
| AMANDA BURKS | — | 1699305185 |
| JAMES DAVID MCCALL | — | 1801484613 |
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.