MEDICARE: SHARMIA GOODWIN LPN

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
1	164W00000X	Licensed Practical Nurse	324358	TX

General Provider Information

NPI Number	:	1811886591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARMIA GOODWIN LPN

Provider Business Mailing Address
First Line	:	7920 COLLIN DAVID SOUTH DR APT 348
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1571
Country	:	US
Telephone Number	:	269-598-0317
Fax Number	:	269-598-0317

Provider Business Practice Location Address
First Line	:	7920 COLLIN DAVID SOUTH DR APT 348
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1571
Country	:	US
Telephone Number	:	269-598-0317
Fax Number	:	269-598-0317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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