Provider Demographics
NPI:1588775860
Name:GOAD, NANCY KAY (FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KAY
Last Name:GOAD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:KAY
Other - Last Name:FRIEDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:430 N PALORA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4707
Practice Address - Country:US
Practice Address - Phone:530-674-2603
Practice Address - Fax:530-674-0941
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 154196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily