Provider Demographics
NPI:1316323124
Name:GOODMAN, ELIZABETH ARPE (RN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ARPE
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAKEFOREST BAPTIST MEDICAL CNTR DEPT OF
Mailing Address - Street 2:MEDICAL CENTER BLVD.
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-727-4818
Mailing Address - Fax:
Practice Address - Street 1:191 WALLBURG HIGH POINT RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-9835
Practice Address - Country:US
Practice Address - Phone:336-870-4405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily