MRS. MISTY MARIE CRICK-GOODMAN LE NPI 1154030401

NPI Information

NPI: 1154030401
Provider Name: MRS. MISTY MARIE CRICK-GOODMAN, LE
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
20622 108TH STREET CT E
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 332-3173
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MRS. Misty Marie Crick-goodman, LE is a specialist technologist other in Bonney Lake, WA. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. MRS. Misty Marie Crick-goodman, LE NPI is 1154030401. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20622 108TH STREET CT E
BONNEY LAKE, WA
ZIP 98391-969
Phone: (253) 332-3173

The enumeration date for this NPI number is 11/15/2022 and was last updated on 11/15/2022.

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	246Z00000X	Specialist/Technologist, Other		9756	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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