Goudreau, Sarrah

Goudreau, Sarrah is an individual health care provider with primary practice located at 223 Burley Ave , Hopkinsville KY 42240-8725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goudreau, Sarrah can be contacted via phone (270) 887-6565.

Contact Information

Primary practice address
223 Burley Ave Hopkinsville KY 42240-8725
Phone: (270) 887-6565
Fax: (270) 887-6575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19136 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3011011 Kentucky

Profile Details

NPI number 1538561113
LBN Legal business name Goudreau, Sarrah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2014
Last updated Oct 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538561113 NPPES
Kentucky MEDICAID 7100470780

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