NPI 1033212584 JENNIFER ANN GOUDY MA ST LOUIS PARK MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jennifer Ann Goudy - NPI: 1033212584

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JENNIFER ANN GOUDY
NPI Number: 1033212584
Entity Type Code: Individual (1)
Gender: F
Credentials: MA
License Number:
Business Practice Address: 3250 W 66th St
Suite 100 Edina, MN - 554352528
Business Phone Number: 9529200970
Business Fax Number: 9529221605
Mailing Address: 6465 Wayzata Blvd, Suite 900
ST LOUIS PARK
State: MN
Postal Code: 554261728
Phone Number: 9525125600
Fax Number: 9525125650
NPI Enumeration Date: 09/07/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 246ZS0410X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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