Provider Demographics
NPI:1972303360
Name:GOLDMAN, MALINDA
Entity type:Individual
Prefix:
First Name:MALINDA
Middle Name:
Last Name:GOLDMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 W PASEWALK AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5608
Mailing Address - Country:US
Mailing Address - Phone:402-860-0717
Mailing Address - Fax:
Practice Address - Street 1:1705 W PASEWALK AVE APT B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5608
Practice Address - Country:US
Practice Address - Phone:402-860-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide