IndividualActive
Elizabeth Blackgoat, RN
NPI 1700030905 · Ambulatory Women's Health Care Registered Nurse · Winslow, AZ
Provider details
- NPI number
- 1700030905
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN078643 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Phone: (928) 289-6184
Approximate (ZIP-level) locationGet directions
Mailing address
500 Indiana Ave
Winslow, AZ 86047-2169
Registry dates
- Enumerated
- 2008-11-14
- Last updated
- 2008-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.