Gomez, Brandi Dalton

Gomez, Brandi Dalton is an individual health care provider with primary practice located at 5659 Parkway Dr Ste 210 , Gloucester VA 23061-3792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gomez, Brandi Dalton can be contacted via phone (804) 210-1025.

Contact Information

Primary practice address
5659 Parkway Dr Ste 210 Gloucester VA 23061-3792
Fax: (804) 210-1029
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95011843 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024183127 Virginia

Profile Details

NPI number 1043864564
LBN Legal business name Gomez, Brandi Dalton
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated May 24th, 2024 - about 2 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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