National Provider Identifier
Tuesday Reve' Goodband
Tuesday Reve' Goodband is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Tonawanda, NY and a listed phone number of (716) 438-6571.
Profile Overview
- NPI
- 1568231447
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 20, 2023
- Last Updated
- December 20, 2023
Practice Location
- 68 Ganson St
- North Tonawanda, NY 14120-7213
Phone: (716) 438-6571
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1568231447
- Entity Type
- Individual
- Last Name
- Goodband
- First Name
- Tuesday
- Middle Name
- Reve'
- Provider Other Last Name
- Goodband
- Provider Other First Name
- Tuesday
- Provider Other Middle Name
- Reve'
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 68 Ganson St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-7213
- Mailing Country
- US
- Mailing Phone
- (716) 438-6571
- Practice Street Address
- 68 Ganson St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-7213
- Practice Country
- US
- Practice Phone
- (716) 438-6571
- Enumeration Date
- December 20, 2023
- Last Updated
- December 20, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 20, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)