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NPI Code Detail

MEDICARE: DANIEL GOMEZ CRNA

MEDICARE: DANIEL GOMEZ CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP 9274364FL
2367500000XCertified Registered Nurse Anesthetist7925NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073972386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GOMEZ CRNA
Provider Business Mailing Address
First Line : 13808 PROFESSIONAL CENTER DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7948
Country : US
Telephone Number : 704-377-4009
Fax Number :
Provider Business Practice Location Address
First Line : 13808 PROFESSIONAL CENTER DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7948
Country : US
Telephone Number : 704-377-4009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2016
Last Update Date : 12/30/2025

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