Provider Demographics
NPI:1972700862
Name:GOODIN, DONNA (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:GOODIN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3401 COMMISSION CT
Mailing Address - Street 2:STE 201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1771
Mailing Address - Country:US
Mailing Address - Phone:703-490-6265
Mailing Address - Fax:703-490-6713
Practice Address - Street 1:3401 COMMISSION CT
Practice Address - Street 2:STE 201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-1771
Practice Address - Country:US
Practice Address - Phone:703-490-6265
Practice Address - Fax:703-490-6713
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily