Doctor Name: | LELA MARIE GOLDSMITH |
NPI Number: | 1336323591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN00176126 |
Business Practice Address: | 518 W 1st Ave Toppenish, WA - 989481564 |
Business Phone Number: | 5098656901 |
Business Fax Number: | |
Mailing Address: | 518 W 1st Ave, TOPPENISH |
State: | WA |
Postal Code: | 989481564 |
Phone Number: | 5098656901 |
Fax Number: | |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 12/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN00176126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |