Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lisa Goodman, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1265105803

Mary Lisa Goodman, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in New Port Richey, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

1807 Short Branch Dr Ste 102
New Port Richey, FL 34655-4424
Phone: (727) 376-3547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11014405 (FL)

Record details

NPI number1265105803
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

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