Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ICEY DAWN GOODRICH
ActiveICEY DAWN GOODRICH is a Community Health Worker healthcare provider located in FAIRMONT, West Virginia. NPI 1720676059 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FAIRMONT, WV
Registration Details
- NPI Number
- 1720676059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2021 (5.4252620498145 yrs)
- Last Updated
- Jan 3, 2021
Practice Information
- Address
-
105 MAPLEWOOD DRFAIRMONT, WV, 265542147Browse WV providers · Browse ZIP 26554
- Phone
- 3043668779
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in FAIRMONT, WV
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD JAMES GERLACH | MA, NCC | 1386915080 |
| JENNIFER DERBY | — | 1306438817 |
| ELIZABETH WOLFE | — | 1861084238 |
| JUSTICE SAMUELS | — | 1477145431 |
| SHANNON BARNETTE | — | 1700478773 |
| ROSE FLANAGAN | — | 1629660527 |
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.