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NPI Code Detail

MEDICARE: DANA GOODYEAR NP

MEDICARE:   DANA  GOODYEAR  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.023751OH

General Provider Information

NPI Number : 1760958672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA GOODYEAR NP
Provider Business Mailing Address
First Line : 570 WHITE POND DR STE 200
Second Line :
City : AKRON
State : OH
Zip : 44320-4208
Country : US
Telephone Number : 330-869-0954
Fax Number :
Provider Business Practice Location Address
First Line : 570 WHITE POND DR STE 200
Second Line :
City : AKRON
State : OH
Zip : 44320-4208
Country : US
Telephone Number : 330-869-0954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2018
Last Update Date : 10/17/2018

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Directions to “ DANA GOODYEAR NP” Practice Location

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