Provider Demographics
NPI:1215798590
Name:GOODMAN, DEBRA ANN (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 ARNETT DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2402
Mailing Address - Country:US
Mailing Address - Phone:757-268-5658
Mailing Address - Fax:
Practice Address - Street 1:912 ARNETT DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2402
Practice Address - Country:US
Practice Address - Phone:757-268-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula