TARA R GOODMAN — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, IA)
TARA R GOODMAN — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, IA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TARA R GOODMAN; Type: Individual; NPI: 1003102187.
| Name | TARA R GOODMAN |
|---|---|
| Type | Individual |
| NPI | 1003102187 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | IA |
| Enrollment ID | I20130920000589 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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