National Provider Identifier

Stephanie D Goodwin, PNP

Stephanie D Goodwin, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 565-9030.

NPI 1467895763Williamsville, NYPediatric Nurse Practitioner

Profile Overview

NPI
1467895763
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
April 17, 2013
Last Updated
September 25, 2017

Practice Location

  • 8643 Sheridan Dr
  • Williamsville, NY 14221-6315

Phone: (716) 565-9030

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1467895763
Entity Type
Individual
Last Name
Goodwin
First Name
Stephanie
Middle Name
D
Name Prefix
Mrs.
Credential
PNP
Mailing Street Address
8643 Sheridan Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6315
Mailing Country
US
Mailing Phone
(716) 565-9030
Mailing Fax
(716) 565-9038
Practice Street Address
8643 Sheridan Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6315
Practice Country
US
Practice Phone
(716) 565-9030
Practice Fax
(716) 565-9038
Enumeration Date
April 17, 2013
Last Updated
September 25, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X)