Most Relevant Information
Provider Data
| NPI Number: | 1003245911 |
| Provider Name: | BROOKE GOODWIN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 133427 |
Most Important Dates
| Enumeration Date: | 11/01/2013 |
| Last Updated: | 11/01/2013 |
Provider Practice Location
1440 W KEMPER RD APT 41
CINCINNATI
OH
452404150
Practice Location Phone/Fax
| Phone: | 5139237897 |
| Fax: |
Provider Mailing Location
1440 W KEMPER RD APT 41
CINCINNATI
OH
452404150
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |