Healthcare Provider Details

I. General information

NPI: 1528667847
Provider Name (Legal Business Name): ISABEL GOEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ISABEL GOEL

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 6TH ST
WILLIAMS AZ
86046-0110
US

IV. Provider business mailing address

PO BOX 3630
FLAGSTAFF AZ
86003-3630
US

V. Phone/Fax

Practice location:
  • Phone: 928-635-4441
  • Fax:
Mailing address:
  • Phone: 928-522-9879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number265541
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF346727
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: