NPI 1538539762

Katelyn Gomez, RN

Practitioner Nursing Home Administrator Milwaukee, WI

Practice location

Address: 6613 W Fairview Ave, Milwaukee, WI 53213-3934
Phone: (651) 491-9745

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 168813 (WI)

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Registry record

NPI: 1538539762
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2015
Record last updated: 30 Sep 2015

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.