Goodrich, Wendy Monique

Goodrich, Wendy Monique is an individual health care provider with primary practice located at 623 S Main St Ste 1 , Moscow ID 83843-2983. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goodrich, Wendy Monique can be contacted via phone (208) 882-2011.

Contact Information

Primary practice address
623 S Main St Ste 1 Moscow ID 83843-2983
Phone: (208) 882-2011
Fax: (208) 883-1853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5747 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1297 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PA030391 District of Columbia

Profile Details

NPI number 1255400388
LBN Legal business name Goodrich, Wendy Monique
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 19th, 2024 - about 2 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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