Basic Information
| Provider Information | |||||||||
| NPI: | 1447808787 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOACHER | ||||||||
| FirstName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1222 HIGHWAY 289 N | ||||||||
| Address2: | |||||||||
| City: | ASH FLAT | ||||||||
| State: | AR | ||||||||
| PostalCode: | 725139901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013229143 | ||||||||
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| Practice Location | |||||||||
| Address1: | 805 THIRD ST | ||||||||
| Address2: | |||||||||
| City: | HORSESHOE BEND | ||||||||
| State: | AR | ||||||||
| PostalCode: | 725123736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8706704861 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2019 | ||||||||
| LastUpdateDate: | 03/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174H00000X | Y | Other Service Providers | Health Educator |
No ID Information.