Most Relevant Information
Provider Data
| NPI Number: | 1003413634 |
| Provider Name: | REBA GOODROW APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9240 |
Most Important Dates
| Enumeration Date: | 10/06/2020 |
| Last Updated: | 01/01/2022 |
Provider Practice Location
1 POMPERAUG OFFICE PARK STE 102&103
SOUTHBURY
CT
064882295
Practice Location Phone/Fax
| Phone: | 2035581143 |
| Fax: |
Provider Mailing Location
82 CENTRAL AVE
WOLCOTT
CT
067163002
Provider Mailing Phone/Fax
| Phone: | 2035897867 |
| Fax: |