Camille Frederick-Goode, NURSING STUDENT
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dover, DE
NPI 1366301673 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1366301673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9 Ardsley Cir
Dover, DE 19904-1979 - Phone
- (347) 243-7806
- NPI assigned
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9 Ardsley Cir
Dover, DE 19904-1979
Mailing address
9 Ardsley Cir
Dover, DE 19904-1979
Phone (347) 243-7806
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All providers in Dover, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.