Healthcare Provider Details

I. General information

NPI: 1659368637
Provider Name (Legal Business Name): BARBARA ANN GOOD C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAY-GRANT ASSOCIATES 694 GOOD DR.
LANCASTER PA
17601
US

IV. Provider business mailing address

44 E 3RD AVE
LITITZ PA
17543-2731
US

V. Phone/Fax

Practice location:
  • Phone: 717-397-8177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberMW008581L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: