| Doctor Name: | MRS. NANCY JEAN BODMAN-GOY |
| NPI Number: | 1376559153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP009237 |
| Business Practice Address: | 150 Mundy Street Wilkes-barre, PA - 18702 |
| Business Phone Number: | 5708240930 |
| Business Fax Number: | 5708247755 |
| Mailing Address: | 150 Mundy St, WILKES BARRE |
| State: | PA |
| Postal Code: | 187026830 |
| Phone Number: | 5708240930 |
| Fax Number: | 5708247755 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | SP009237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |