Goodenough, Theresa

Goodenough, Theresa is an sole proprietor health care provider with primary practice located at 384 S Pantops Dr , Charlottesville VA 22911-8678. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodenough, Theresa can be contacted via phone (607) 725-0980.

Contact Information

Primary practice address
384 S Pantops Dr Charlottesville VA 22911-8678
Phone: (607) 725-0980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 2005453868 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024174270 Virginia

Profile Details

NPI number 1649646183
LBN Legal business name Goodenough, Theresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Mar 23rd, 2020 - about 6 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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