Individual
MRS. ASHLEY MICHELLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(602) 663-3584
Mailing address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(602) 663-3584
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP4102
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623259
—
AZ
Enumeration date
06/27/2011
Last updated
07/24/2015
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