Most Relevant Information
Provider Data
| NPI Number: | 1003079823 |
| Provider Name: | LAURA GOODWIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 42116 |
Most Important Dates
| Enumeration Date: | 07/02/2008 |
| Last Updated: | 07/02/2008 |
Provider Practice Location
195 W 14TH
RIFLE
CO
816504700
Practice Location Phone/Fax
| Phone: | 9706255200 |
| Fax: | 9706254804 |
Provider Mailing Location
2014 BLAKE AVE
GLENWOOD SPRINGS
CO
816014229
Provider Mailing Phone/Fax
| Phone: | 9709456614 |
| Fax: | 9709470155 |