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Organization

D GOMEZ PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA M GOMEZ RN, MSN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(973) 919-5975
Entity
Organization

Contact information

Practice address
100 E PALISADE AVE APT D42, ENGLEWOOD, NJ 07631-3072
(973) 919-5975
(973) 528-3204
Mailing address
100 E PALISADE AVE APT D42, ENGLEWOOD, NJ 07631-3072
(973) 919-5975
(973) 528-3204

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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