Provider Demographics
NPI:1033248216
Name:GOOD, ISABEL D (RN, FNP)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:D
Last Name:GOOD
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-3231
Mailing Address - Country:US
Mailing Address - Phone:559-392-1018
Mailing Address - Fax:580-458-2314
Practice Address - Street 1:1310 M ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721
Practice Address - Country:US
Practice Address - Phone:559-264-2700
Practice Address - Fax:559-264-2700
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN236363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily