Godfrey, Erin Marie

Godfrey, Erin Marie is an individual health care provider with primary practice located at 2690 Ne Kresky Ave , Chehalis WA 98532-2412. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Godfrey, Erin Marie can be contacted via phone (360) 330-9595.

Contact Information

Primary practice address
2690 Ne Kresky Ave Chehalis WA 98532-2412
Phone: (360) 330-9595
Fax: (360) 330-9530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7116-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61027940 Washington

Profile Details

NPI number 1902350937
LBN Legal business name Godfrey, Erin Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Feb 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902350937 NPPES
Washington MEDICAID 220212
Washington Other AP61027940

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