Goodman, Andrea Marie
Goodman, Andrea Marie is an individual health care provider with primary practice located at Msc06 3870 1 University Of New Mexico , Albuquerque NM 87131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goodman, Andrea Marie can be contacted via phone (505) 277-3136.Contact Information
Primary practice address
Msc06 3870 1 University Of New Mexico
Albuquerque NM 87131
Phone: (505) 277-3136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004195 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2017-0087 | New Mexico |
Profile Details
| NPI number | 1699050781 |
|---|---|
| LBN Legal business name | Goodman, Andrea Marie |
| Credentials | MSPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2011 |
| Last updated | Jan 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699050781 | NPPES |
| New Mexico | Other | 1750550067 | UNIVERSITY OF NEW MEXICO STUDENT HEALTH AND COUNSELING |
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