Individual provider · NPI-1

Theresa Rose Gomez-Devine, FNP, RN, ATC

Nurse Practitioner, Family · Ventura, CA

NPI number1205473741
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1205473741
Entity type
Individual (NPI-1)
Name
Mrs. Theresa Rose Gomez-Devine
Credential
FNP, RN, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 3, 2019
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95036932CAYes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

10881 Citrus Dr
Ventura, CA 93004-3453

Phone 408-375-6922

Mailing address

10881 Citrus Dr
Ventura, CA 93004-3453

Phone 408-375-6922

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