Doctor Name: | ELIZABETH SHELLY GOODIEL |
NPI Number: | 1194874016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.F.A,M.S.N.,CNM |
License Number: | 0001074325 |
Business Practice Address: | 3650 Joseph Siewick Dr Suite 203 Fairfax, VA - 220331710 |
Business Phone Number: | 7033911500 |
Business Fax Number: | 7038601549 |
Mailing Address: | 2028 Opitz Blvd, Suite One WOODBRIDGE |
State: | VA |
Postal Code: | 221913306 |
Phone Number: | 7036902295 |
Fax Number: | 7036906445 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 0001074325 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |