Provider Demographics
NPI:1891497061
Name:GOODWIN, LINDA JEAN (NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:GOODWIN
Suffix:
Gender:F
Credentials: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 CRANSTON CIR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4758
Mailing Address - Country:US
Mailing Address - Phone:603-682-1631
Mailing Address - Fax:
Practice Address - Street 1:3 CRANSTON CIR
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4758
Practice Address - Country:US
Practice Address - Phone:603-682-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045657-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily