Gomez, Diana Maribel

Gomez, Diana Maribel is an individual health care provider with primary practice located at 2003 Medical Pkwy Ste 210 , Annapolis MD 21401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gomez, Diana Maribel can be contacted via phone (410) 573-5300.

Contact Information

Primary practice address
2003 Medical Pkwy Ste 210 Annapolis MD 21401
Phone: (410) 573-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R107916 Maryland

Profile Details

NPI number 1851565097
LBN Legal business name Gomez, Diana Maribel
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Jan 13th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851565097 NPPES
Maryland MEDICAID 020342400
Maryland Other 686679

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