Provider Demographics
NPI:1619090230
Name:GOLDMAN, SHEREE LANIECE (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:LANIECE
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OAK MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CARMEL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93924-9455
Mailing Address - Country:US
Mailing Address - Phone:831-659-4356
Mailing Address - Fax:
Practice Address - Street 1:1441 CONSTITUTION BLVD., BLDG. 400, STE. 201
Practice Address - Street 2:MONTEREY COUNTY HEALTH DEPARTMENT
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906
Practice Address - Country:US
Practice Address - Phone:831-751-9790
Practice Address - Fax:831-751-9927
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN296636173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine