NPI 1093481418

Michael Ray Gomez

Practitioner Licensed Practical Nurse Greeley, CO

Practice location

Address: 3400 W 16th St STE P, Greeley, CO 80634-6871
Phone: (970) 978-4386

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN0335320 (CO)

Other Licensed Practical Nurse providers in Colorado →

Registry record

NPI: 1093481418
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2021
Record last updated: 17 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.