Individual
MEAGHAN MCENTEE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(281) 660-2028
Mailing address
515 E 72ND ST APT 3J, NEW YORK, NY 10021-4052
(281) 660-2028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
725188
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
F309052-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304487701
—
TX
Enumeration date
12/05/2011
Last updated
06/29/2019
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