Active NPIIndividual providerSole proprietor

Yassara V Gomes, RN

Registered Nurse, Ambulatory Care in Brockton, Massachusetts

NPI Number1114650546
Practice location
121 Algonquin St, Brockton, MA 02302-2452
Fax
—
Last updated
July 4, 2022

Yassara V Gomes is a Registered Nurse, Ambulatory Care based in Brockton, MA. Yassara V Gomes practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Yassara V Gomes is 1114650546 and holds a License No. 2308343 (MA). The current practice location address for Yassara V Gomes is 121 Algonquin St, Brockton, MA 02302-2452 and can be reached out via phone at 401-215-8402.

Provider Profile Details

NPI Number
1114650546
Provider Name
Yassara V Gomes
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
121 Algonquin St, Brockton, MA 02302-2452
Phone Number
401-215-8402
Primary Taxonomy
Registered Nurse, Ambulatory Care · 163WP2201X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2022
Last Update Date
July 4, 2022
Certification Date
July 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Algonquin St
Brockton, MA 02302-2452
Zip
02302-2452
Phone Number
401-215-8402
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
121 Algonquin St
Brockton, MA 02302-2452
City
Brockton
State
MA
Zip
02302-2452
Phone Number
401-215-8402

License Information

License Number
2308343
License State
MA
Taxonomy
Registered Nurse, Ambulatory Care · 163WP2201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yassara V Gomes, RN?

The NPI number of Yassara V Gomes, RN is 1114650546. It was assigned on July 4, 2022 and is currently active in the NPPES registry.

What is the specialty of Yassara V Gomes, RN?

Yassara V Gomes, RN is registered under the primary taxonomy Registered Nurse, Ambulatory Care (code 163WP2201X), licensed in MA under license number 2308343.

Where does Yassara V Gomes, RN practice?

The practice location is 121 Algonquin St, Brockton, MA 02302-2452. The office can be reached at 401-215-8402 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114650546 directly on the NPPES registry website.

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