Gomez-Levine, Holly Lynn

Gomez-Levine, Holly Lynn is an sole proprietor health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-4491. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gomez-Levine, Holly Lynn can be contacted via phone (715) 817-7100.

Contact Information

Primary practice address
3500 Tower Ave Superior WI 54880-4491
Phone: (715) 817-7100
Fax: (406) 457-8992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 100926 Montana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7182-33 Wisconsin

Profile Details

NPI number 1881857167
LBN Legal business name Gomez-Levine, Holly Lynn
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2008
Last updated May 22nd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881857167 NPPES
Montana Other 0000371733 BLUE CROSS-SHIELD OF MONTANA
Montana Other P01206032 C01340 BLUE CROSS-SHIELD OF MONTANA

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