Individual provider · Type 1 NPI

Blake Kathleen Gomez, CPNP-AC

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1447723796 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Call (612) 813-7888 Map

Fax (612) 813-6361

Mailing address

10860 Kingsborough Trl
Cottage Grove, MN 55016-4660

Other practice locations

  • 4400 W 95th St, Oak Lawn, IL 60453-2654 · (708) 684-8000
  • 1675 Dempster St, Park Ridge, IL 60068-1110 · (855) 312-5437
  • 345 Smith Ave N, St. Paul, MN 55102-2346 · (612) 813-7888

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X209018598 (IL)
Pediatric Nurse Practitioner Primary 363LP0200X8198 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447723796

Blake Kathleen Gomez, CPNP-AC's National Provider Identifier is 1447723796, issued on Jan 9, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on May 26, 2021.