Individual
ELIZABETH ANN GOMEZ-MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-ED, BSN, FNP-BC
Contact information
Practice address
12800 MISSISSIPPI PKWY STE B100, CROWN POINT, IN 46307-6901
(219) 662-5700
(219) 662-2569
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
28187743A
IN
363LF0000X
Family Nurse Practitioner
Primary
71017706A
IN
Other
Enumeration date
11/14/2025
Last updated
03/06/2026
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