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

Miss. Ryan Stephanie Goodman, CPNP-AC

Individual provider Registered Nurse · NPI 1710629704

Miss. Ryan Stephanie Goodman, CPNP-AC is a Registered Nurse in Gillette, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-1500
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 53158 (WY)
Registered Nurse Taxonomy 163W00000X · Licence 41646 (WY)

Record details

NPI number1710629704
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorYes
NPI enumeratedApril 10, 2022
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

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