Tonya Denise Goodman, is a
Licensed Practical Nurse based in Mountain View, Arkansas. Tonya Denise Goodman is licensed to practice in Arkansas (license number L037723) and her current practice location is
1810 Ozarka College Dr, Mountain View, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 269-2110.
NPI number for Tonya Denise Goodman is 1396170742 and her current mailing address is 1 Childrens Way, Slot 512-39, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396170742.
Provider's Profile
| Full Name | Tonya Denise Goodman |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 1810 Ozarka College Dr, Mountain View, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396170742
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 09/04/2013
Medical Identifiers
Medical identifiers for Tonya Denise Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396170742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L037723 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tonya Denise Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tonya Denise Goodman,
1 Childrens Way, Slot 512-39,
Little Rock, AR 72202-3500
Ph: (501) 526-8700 | Tonya Denise Goodman,
1810 Ozarka College Dr,
Mountain View, AR 72560-6455
Ph: (870) 269-2110 |
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