Provider Demographics
NPI:1790650695
Name:GODLEY, MARTRINO DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARTRINO
Middle Name:DENISE
Last Name:GODLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1922 HEATHERS CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-8124
Mailing Address - Country:US
Mailing Address - Phone:706-373-4454
Mailing Address - Fax:803-426-8144
Practice Address - Street 1:120 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-4276
Practice Address - Country:US
Practice Address - Phone:803-426-8071
Practice Address - Fax:803-426-8144
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN206284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty