DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS RYAN STEPHANIE GOODMAN, CPNP-AC

Active Sole Proprietor

Pediatric Nurse Practitioner · GILLETTE, WY

Registration Details

NPI Number
1710629704
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2022 (4.0432721124098 yrs)
Last Updated
Jul 31, 2025
Licenses
41646 (WY)
53158 (WY)
Sole Proprietor
Yes

Practice Information

Address
501 S BURMA AVE
GILLETTE, WY, 827163426
Browse WY providers · Browse ZIP 82716
Phone
3076881500
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in GILLETTE, WY

Name Credential NPI
MICAYLA JEAN HINDS PNP 1548510985
RACHEL ANNE HELMS APRN 1942546015
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.