Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY D GOODMAN, CRNA
Active Sole ProprietorAMY D GOODMAN, CRNA is a Clinic/Center healthcare provider located in SAN LUIS OBISPO, California. NPI 1942292701 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1942292701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2005 (21.007509212206 yrs)
- Last Updated
- Jun 1, 2016
- Licenses
-
CRNA000233 (NV)CRNA-183907 (CO)2974 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1375 OAKWOOD CTSAN LUIS OBISPO, CA, 934015918Browse CA providers · Browse ZIP 93401
- Phone
- 9703795531
- Primary Specialty
-
Clinic/Center
261Q00000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Clinic/Center
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.