KRYSTAL GOUDREAU RN NPI 1609301829

NPI Information

NPI: 1609301829
Provider Name: KRYSTAL GOUDREAU, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
113 N LAKE ST
MANISTIQUE, MI
ZIP 49854
Phone: (906) 450-1700
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Krystal Goudreau, RN is a family nurse practitioner in Manistique, MI. Krystal Goudreau, RN NPI is 1609301829. 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:

113 N LAKE ST
MANISTIQUE, MI
ZIP 49854-234
Phone: (906) 450-1700

The enumeration date for this NPI number is 4/25/2017 and was last updated on 8/9/2023.

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	163W00000X	Registered Nurse		4704260602	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704260602	MICHIGAN	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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