Goodwin, Nicole

Goodwin, Nicole is an individual health care provider with primary practice located at 784 High St , San Luis Obispo CA 93401-5243. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Psychiatric Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Goodwin, Nicole can be contacted via phone (805) 801-3017.

Contact Information

Primary practice address
784 High St San Luis Obispo CA 93401-5243
Phone: (805) 801-3017
Fax: (805) 221-6213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT31294 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902964398
LBN Legal business name Goodwin, Nicole
Credentials CASE MANAGER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 8th, 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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