Individual
CASSIDY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CRNA
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
1121 E PLEASANT ST, MILWAUKEE, WI 53202-2124
(608) 515-6344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242630
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
145018
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841076882
—
WI
Enumeration date
09/06/2023
Last updated
11/09/2023
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