NPI 1003413634

Reba Goodrow, APRN

Practitioner Family Nurse Practitioner Southbury, CT

Practice location

Address: 1 Pomperaug Office Park STE 102&103, Southbury, CT 06488-2295
Phone: (203) 558-1143
Mailing address: 82 Central Ave, Wolcott, CT 06716-3002

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 9240 (CT)

Other Nurse Practitioner providers in Connecticut →

Registry record

NPI: 1003413634
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2020
Record last updated: 1 Jan 2022

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.