CHAD GOODERHAM, FNP
Nurse Practitioner - Family
Active
Individual
NPI: 1639153091
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | - |
Frequently Asked Questions
NPI 1639153091 is the National Provider Identifier for CHAD GOODERHAM, FNP, a Nurse Practitioner - Family provider located in Fort Wainwright, AK. This NPI was enumerated on November 30, 2005.
CHAD GOODERHAM, FNP practices at 1060 GAFFNEY RD, Fort Wainwright, AK 99703.
Quick Facts
- NPI
- 1639153091
- Type
- Individual
- Enumerated
- Nov 30, 2005
- Last Updated
- Sep 11, 2025
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