Healthcare Provider Details

I. General information

NPI: 1952491029
Provider Name (Legal Business Name): MARGARET LOUISE GOOD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W COOLIDGE AVE
MODESTO CA
95350-4447
US

IV. Provider business mailing address

1425 LYONS AVE
TURLOCK CA
95380-4123
US

V. Phone/Fax

Practice location:
  • Phone: 209-579-2300
  • Fax: 209-579-1948
Mailing address:
  • Phone: 209-632-6912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN604735
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN604735
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: