DIANE GOEDECKE FNP NPI 1205940293

NPI Information

NPI: 1205940293
Provider Name: DIANE GOEDECKE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6130 N LA CHOLLA BLVD STE 250
TUCSON, AZ
ZIP 85741
Phone: (520) 219-8690
Get Directions

Diane Goedecke, FNP is a family nurse practitioner in Tucson, AZ. Diane Goedecke, FNP NPI is 1205940293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6130 N LA CHOLLA BLVD STE 250
TUCSON, AZ
ZIP 85741-698
Phone: (520) 219-8690

The NPI 1205940293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		RN044164	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	RN044164	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	494253	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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