Individual
ANA ALICIA GOMEZ NOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1909 US HIGHWAY 82 W STE 3&4, TIFTON, GA 31793-8200
(229) 445-3509
Mailing address
1909 US HIGHWAY 82 W STE 3&4, TIFTON, GA 31793-8200
(229) 445-3509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN236233
GA
363LF0000X
Family Nurse Practitioner
Primary
RN236233
GA
Other
Enumeration date
02/06/2019
Last updated
01/17/2025
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