Healthcare Provider Details

I. General information

NPI: 1033039730
Provider Name (Legal Business Name): CAROLYN GODDARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 EAST ST
HINGHAM MA
02043-2050
US

IV. Provider business mailing address

157 EAST ST
HINGHAM MA
02043-2050
US

V. Phone/Fax

Practice location:
  • Phone: 781-385-1358
  • Fax:
Mailing address:
  • Phone: 781-385-1358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN178248
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: