Gomez, Blake Kathleen

Gomez, Blake Kathleen is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gomez, Blake Kathleen can be contacted via phone (612) 813-7888.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (612) 813-7888
Fax: (612) 813-6361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 209018598 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8198 Minnesota

Profile Details

NPI number 1447723796
LBN Legal business name Gomez, Blake Kathleen
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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