Individual
MR. NICHOLAS ALEXANDER GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2050 N MAIN ST STE C, CROWN POINT, IN 46307
(219) 662-3300
(219) 662-3301
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015668A
IN
Other
Enumeration date
08/22/2023
Last updated
09/13/2024
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