Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEACHES GOODIE, RN
Deactivated Sole ProprietorPEACHES GOODIE, RN is a Registered Nurse healthcare provider located in BREAUX BRIDGE, Louisiana. NPI 1417725821 is deactivated in the NPPES registry. Verify at CMS.
Registered Nurse · BREAUX BRIDGE, LA
This NPI has been deactivated.
The record was deactivated on December 15, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417725821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2023 (0.0027322404371585 yrs)
- Last Updated
- Mar 5, 2024
- Deactivated
- Dec 15, 2023
- License
-
107585 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
826 BELLE DRBREAUX BRIDGE, LA, 705174630Browse LA providers · Browse ZIP 70517
- Phone
- 3372786502
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in BREAUX BRIDGE, LA
| Name | Credential | NPI |
|---|---|---|
| MARY SERRETTE | RN | 1508277278 |
| MS. TANNIE ALEXANDER | REGISTERED NURSE | 1295409530 |
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.