NPI 1790004216
Tiffany Goodson
Practice location
- Address
- 615 W Moreland Blvd, Waukesha, WI 53188-2462
- Phone
- (262) 896-8440
- Mailing address
- 500 Riverview Ave, Waukesha, WI 53188-3632
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1790004216
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 May 2010
- Record last updated
- 24 May 2010
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.