| Doctor Name: | BETH ANN GOOD |
| NPI Number: | 1568594497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, APRN |
| License Number: | R113496-2 |
| Business Practice Address: | 905 Forest Ave E Ste 150 Mora, MN - 550511632 |
| Business Phone Number: | 3206796395 |
| Business Fax Number: | 3206796351 |
| Mailing Address: | 2324 230th Ave, MORA |
| State: | MN |
| Postal Code: | 550516900 |
| Phone Number: | 3206796395 |
| Fax Number: | 3206796351 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | R113496-2 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |