DR. RENEE PATRICIA GOODEN-CLARKE NP NPI 1447814397

NPI Information

NPI: 1447814397
Provider Name: DR. RENEE PATRICIA GOODEN-CLARKE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2425 E COMMERCIAL BLVD STE 202
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 408-0125
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DR. Renee Patricia Gooden-clarke, NP is a family nurse practitioner in Fort Lauderdale, FL. DR. Renee Patricia Gooden-clarke, NP NPI is 1447814397. 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:

2425 E COMMERCIAL BLVD STE 202
FORT LAUDERDALE, FL
ZIP 33308-062
Phone: (954) 408-0125
Fax: (954) 408-0127

The enumeration date for this NPI number is 4/25/2019 and was last updated on 11/8/2022.

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	363LF0000X	Nurse Practitioner	Family	APRN11005764	FLORIDA	Yes
2	363LF0000X	Nurse Practitioner	Family	95011515	CALIFORNIA	No

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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