National Provider Identifier
Sueane Goodreau, N.P.
Sueane Goodreau, N.P. is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-1513.
Profile Overview
- NPI
- 1669540233
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- December 01, 2006
- Last Updated
- June 25, 2014
Practice Location
- 620 W Seneca St
- Ithaca, NY 14850-3326
Phone: (607) 273-1513
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1669540233
- Entity Type
- Individual
- Last Name
- Goodreau
- First Name
- Sueane
- Credential
- N.P.
- Mailing Street Address
- 620 W Seneca St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3326
- Mailing Country
- US
- Mailing Phone
- (607) 273-1513
- Mailing Fax
- (607) 273-8776
- Practice Street Address
- 620 W Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3326
- Practice Country
- US
- Practice Phone
- (607) 273-1513
- Practice Fax
- (607) 273-8776
- Enumeration Date
- December 01, 2006
- Last Updated
- June 25, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 00362863 (NY)