Provider Demographics
NPI:1235492588
Name:GOODMAN, FRAN A (RN)
Entity Type:Individual
Prefix:MS
First Name:FRAN
Middle Name:A
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1911
Mailing Address - Country:US
Mailing Address - Phone:650-327-8717
Mailing Address - Fax:650-327-8572
Practice Address - Street 1:270 GRANT AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1911
Practice Address - Country:US
Practice Address - Phone:650-327-8717
Practice Address - Fax:650-327-8572
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA273628163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse