Grivel Justina Hera Gomez, FNP
Nurse Practitioner, Family in Hialeah, FL. Individual provider (NPI-1).
NPI number1508281908
StatusActive
Last updated in NPPESJul 14, 2024
Details
- NPI
- 1508281908
- Entity type
- Individual (NPI-1)
- Name
- Miss Grivel Justina Hera Gomez
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2014
- Certification date
- Jul 14, 2024
- Last updated
- Jul 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9302035 | FL | Yes |
Practice location
915 W 49th StHialeah, FL 33012-3412
Phone 305-200-1225
Mailing address
8324 Nw 142nd StMiami Lakes, FL 33016-5750
Phone 305-793-8839
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