Individual provider · NPI-1

Timisha Ruebina Gomez, WHNP-BC

Nurse Practitioner, Obstetrics & Gynecology · Glen Burnie, MD

NPI number1063287092
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1063287092
Entity type
Individual (NPI-1)
Name
Timisha Ruebina Gomez
Credential
WHNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 20, 2023
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyR206371MDYes

Practice location

308 Hospital Dr Ste 101
Glen Burnie, MD 21061-6113

Phone 410-595-6353

Mailing address

308 Hospital Dr Ste 101
Glen Burnie, MD 21061-6113

Phone 410-595-6353

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Obstetrics & Gynecology providers in Glen Burnie, MD