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Contact Information

THERESA GOODENOUGH, FNP
384 S PANTOPS DR
CHARLOTTESVILLE, VA22911-8678
 Phone: 607-725-0980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for THERESA GOODENOUGH · (Female)

NPI Number 1649646183
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/19/2015
Last updated 03/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0024174270
  • VA License # 2005453868
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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