NPI 1003102187

Tara R Goodman, ARNP

Practitioner Pediatric Nurse Practitioner Hamburg, IA

Practice location

Address: 1219 Main St, Hamburg, IA 51640-1300
Phone: (712) 382-2626
Fax: (712) 382-1931

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence C107297 (IA)

Other Nurse Practitioner providers in Iowa →

Registry record

NPI: 1003102187
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2011
Record last updated: 27 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.