Healthcare Provider Details

I. General information

NPI: 1659338838
Provider Name (Legal Business Name): ERIKA SARAH GOLDSTEIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2006
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 COURT ST
KEENE NH
03431-1702
US

IV. Provider business mailing address

801 VT ROUTE 30
NEWFANE VT
05345-9656
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-3800
  • Fax: 603-355-8922
Mailing address:
  • Phone: 802-365-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number054600-23-03
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: