Individual provider · Type 1 NPI

Citlalli Gomez

Licensed Practical Nurse · Rogers, AR

NPI number 1265324719 Active

Practice location

3605 W Southern Hills Blvd
Rogers, AR 72758-8113

Call (479) 770-0744 Map

Mailing address

14459 Highland Church Rd
Fayetteville, AR 72704-0314

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XTEMP234056 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1265324719

Citlalli Gomez's National Provider Identifier is 1265324719, issued on Jul 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rogers, AR. The record was last updated on Jul 18, 2025.