person
Ms. Denise Ann Gomolak, NP
Family Nurse Practitioner in Flagstaff, Arizona
NPI 1881705804

Denise Ann Gomolak is a Family Nurse Practitioner based in Flagstaff, AZ and is specialized in Family. Denise Ann Gomolak practices in Flagstaff, AZ and has the professional credentials of NP. The NPI Number for Denise Ann Gomolak is 1881705804 and holds a License No. 510829 (Arizona).

The current practice location address for Denise Ann Gomolak is 107 E Oak Ave, Flagstaff, AZ and can be reached out via phone at 928-913-8800 and via fax at 928-913-8801. You can also correspond with Denise Ann Gomolak through the mailing address at 1200 N BEAVER ST, FLAGSTAFF, AZ - 86001-3118 (mailing address contact number: 928-213-6235).

Location: 107 E Oak Ave, Flagstaff, AZ, 86001-3118
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Provider Profile Details
NPI Number
1881705804
Provider Name
Denise Ann Gomolak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
107 E Oak Ave, Flagstaff, AZ, 86001-3118
Phone Number
928-913-8800
Fax Number
928-913-8801
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
910514 05 AZ
910514 05 CA
institution
Provider Business Practice Location Address Details
Address
107 E Oak Ave
City
State
Zip
86001-1818
Phone Number
928-913-8800
Fax Number
928-913-8801
person
Provider Business Mailing Address Details
Address
1200 N Beaver St
City
State
Zip
86001-3118
Phone Number
928-213-6235
Fax Number
928-213-6292
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
510829 (California)
Definition
Definition to come...
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