DR. PETRA GOODMAN


Address: Usameddac Wuerzburg, Attn: Primary Care Clinic, Cmr 446, Unit 26610, Wuerzburg, BAVARIA APO AE 09244, DE
Phone: 011499318043966

DR. PETRA GOODMAN (NPI# 1487760369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487760369
Entity Type Individual
Full Name DR. PETRA GOODMAN
Credential NP
Practice Address Usameddac Wuerzburg, Attn: Primary Care Clinic
Cmr 446, Unit 26610
Wuerzburg
BAVARIA APO AE 09244
DE
Mailing Address Usameddac Wuerzburg Attn: Credentials Office
Cmr 446, Unit 26610
Wuerzburg
BAVARIA APO AE 09244
DE
Practice Telephone 011499318043966
Mailing Telephone 011499318043616
Mailing Fax Number 011499318043241
Enumeration Date 2006-08-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
WH 1574 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address USAMEDDAC WUERZBURG, ATTN: PRIMARY CARE CLINIC
CMR 446, UNIT 26610
City WUERZBURG
State BAVARIA
Zip Code APO AE 09244

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Competitor

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City WUERZBURG
Zip Code APO A

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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