Healthcare Provider Details

I. General information

NPI: 1710188735
Provider Name (Legal Business Name): HELEN E. GOMES MSN, CNS, BC-ADM,CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S HUNTINGTON AVE
JAMAICA PLAIN MA
02130-4817
US

IV. Provider business mailing address

3 STONEY VIEW DR
CUMBERLAND RI
02864-1945
US

V. Phone/Fax

Practice location:
  • Phone: 857-364-6258
  • Fax:
Mailing address:
  • Phone: 857-364-6258
  • Fax: 857-364-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number165930
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: