Doctor Name: | YENDI GOMES |
NPI Number: | 1487089918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN146220 |
Business Practice Address: | 535 N Central Ave Hapeville, GA - 303541603 |
Business Phone Number: | 4047614040 |
Business Fax Number: | 4047614008 |
Mailing Address: | 2019 Alcovy Shoals Blf, LAWRENCEVILLE |
State: | GA |
Postal Code: | 300452787 |
Phone Number: | 4047898778 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN146220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |