Provider Demographics
NPI:1134409188
Name:MCGEE-GOODLY, TRINELL UNETTE (LPN)
Entity type:Individual
Prefix:MS
First Name:TRINELL
Middle Name:UNETTE
Last Name:MCGEE-GOODLY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:TRINELL
Other - Middle Name:UNETTE
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3843 HARDING BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807-5224
Mailing Address - Country:US
Mailing Address - Phone:225-359-9315
Mailing Address - Fax:
Practice Address - Street 1:3843 HARDING BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-5224
Practice Address - Country:US
Practice Address - Phone:225-359-9315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA240448164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse