Individual provider · Type 1 NPI
Holly Lynn Gomez-Levine, APRN, CNP
Psychiatric/Mental Health Nurse Practitioner · Superior, WI
NPI number
1881857167
Active
Practice location
3500 Tower Ave
Superior, WI 54880-4491
Fax (406) 457-8992
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 100926 (MT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 7182-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1881857167
Holly Lynn Gomez-Levine, APRN, CNP's National Provider Identifier is 1881857167, issued on Jul 7, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Superior, WI. The record was last updated on May 22, 2019.