Provider Demographics
NPI:1083018253
Name:GOODNESS, FRANCES MARIE
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:MARIE
Last Name:GOODNESS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FRANCES
Other - Middle Name:MARIE
Other - Last Name:GOODNESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:189 WHEATLEY RD
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2641
Mailing Address - Country:US
Mailing Address - Phone:516-626-1000
Mailing Address - Fax:516-626-1493
Practice Address - Street 1:189 WHEATLEY RD
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-2641
Practice Address - Country:US
Practice Address - Phone:516-626-1000
Practice Address - Fax:516-626-1493
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627484163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool