Individual provider · Type 1 NPI
Grismeldy E. Gomez
Primary Care Nurse Practitioner · Winfield, MO
NPI number
1992369508
Active
Practice location
61 Village Circle Dr
Winfield, MO 63389-2053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2013026395 (MO) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 53-78743-011 (KS) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1992369508
Grismeldy E. Gomez's National Provider Identifier is 1992369508, issued on Apr 29, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Winfield, MO. The record was last updated on Jun 15, 2019.