Search › New Mexico › 363A00000X
Andrea Goodman, MSPAS, PA-C
NPI 1699050781 · on the registry since 2011
Practice
- Address
- Msc06 3870 1 University Of New Mexico
Albuquerque, NM 87131 - Phone
- (505) 277-3136
- Clinicians at this address
- 10
Additional practice sites
- 374 E Grand Ave, Carbondale, IL
- 374 E Grand Ave, Carbondale, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IL, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico