| Doctor Name: | KAREN L GODARD |
| NPI Number: | 1033102579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, CPNP |
| License Number: | NP-822A; N36983 |
| Business Practice Address: | 1305 3rd St S Nampa, ID - 836513903 |
| Business Phone Number: | 2084755700 |
| Business Fax Number: | 2084755710 |
| Mailing Address: | 1910 University Dr, Sn 128 BOISE |
| State: | ID |
| Postal Code: | 837250002 |
| Phone Number: | 2084263628 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 07/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP-822A; N36983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |