NPI 1083447304

Atosha Goodman

Practitioner Community Health Worker Springfield, MO

Practice location

Address: 2650 W Kearney St, Springfield, MO 65803-2037
Phone: (417) 865-1547
Mailing address: 5039 S Fieldstone Rd, Battlefield, MO 65619-8406

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence 2018002759 (MO)

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Registry record

NPI: 1083447304
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2024
Record last updated: 22 Aug 2024

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.