person
Blake Kathleen Gomez, CPNP-AC
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1447723796

Blake Kathleen Gomez is a Pediatric Nurse Practitioner based in Cottage Grove, MN and is specialized in Pediatrics. Blake Kathleen Gomez practices in Minneapolis, MN and has the professional credentials of CPNP-AC. The NPI Number for Blake Kathleen Gomez is 1447723796 and holds a License No. 209018598 (Minnesota).

The current practice location address for Blake Kathleen Gomez is 2525 Chicago Ave, Minneapolis, MN and can be reached out via phone at 612-813-7888 and via fax at 612-813-6361.

Location: 2525 Chicago Ave, Minneapolis, MN, 55016-4660
person
Provider Profile Details
NPI Number
1447723796
Provider Name
Blake Kathleen Gomez
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
2525 Chicago Ave, Minneapolis, MN, 55016-4660
Phone Number
612-813-7888
Fax Number
612-813-6361
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 Chicago Ave
City
State
Zip
55404-4518
Phone Number
612-813-7888
Fax Number
612-813-6361
person
Provider Business Mailing Address Details
Address
2525 Chicago Ave
City
State
Zip
55404-4518
Phone Number
612-813-7888
Fax Number
612-813-6361
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
8198 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
209018598 (Illinois)
Definition
Definition to come...
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