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NPI Code Detail

MEDICARE: AMERICA KARINA GOMEZ MH ARNP

MEDICARE: AMERICA KARINA GOMEZ MH ARNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2357939MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner138223AK
3363LP0808XPsychiatric/Mental Health Nurse Practitioner9426070FL

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 : 1053822791
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMERICA KARINA GOMEZ MH ARNP
Provider Business Mailing Address
First Line : 3260 HOSPITAL DR
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7808
Country : US
Telephone Number : 918-636-7230
Fax Number :
Provider Business Practice Location Address
First Line : 3750 W 16TH AVE STE 126U
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4645
Country : US
Telephone Number : 305-557-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2017
Last Update Date : 04/25/2022

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Directions to “ AMERICA KARINA GOMEZ MH ARNP” Practice Location

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