Individual
MRS. ANGELICA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER F
Contact information
Practice address
6127 GREENBAY ROAD-SINUS AND SNORING MD, SUITE 100, KENASHA, WI 53140
(262) 425-9108
(262) 764-0224
Mailing address
6127 GREENBAY ROAD-SINUS AND SNORING MD, SUITE 100, KENASHA, WI 53140
(262) 425-9108
(262) 764-0224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11797-33
WI
363L00000X
Nurse Practitioner
209.029499
IL
363L00000X
Nurse Practitioner
319095-31
WI
Other
Enumeration date
02/09/2022
Last updated
04/29/2024
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