Goodwyn, Rachel Lauren

Goodwyn, Rachel Lauren is an sole proprietor health care provider with primary practice located at 13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Goodwyn, Rachel Lauren can be contacted via phone (623) 876-8816.

Contact Information

Primary practice address
13460 N 94Th Dr Ste J1 Peoria AZ 85381-4246
Phone: (623) 876-8816
Fax: (623) 298-0168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 57242 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 246985 Arizona

Profile Details

NPI number 1093362170
LBN Legal business name Goodwyn, Rachel Lauren
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2019
Last updated Aug 24th, 2021 - about 5 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 1093362170 NPPES
Arizona Other 246985 AZ-NP LICENSE

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