Provider Demographics
NPI:1801842992
Name:GOMES, CATHERINE P (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:P
Last Name:GOMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2601 CHERRY AVE
Mailing Address - Street 2:#213
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4203
Mailing Address - Country:US
Mailing Address - Phone:360-479-6041
Mailing Address - Fax:360-405-0768
Practice Address - Street 1:2601 CHERRY AVE
Practice Address - Street 2:#213
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4203
Practice Address - Country:US
Practice Address - Phone:360-479-6041
Practice Address - Fax:360-405-0768
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001302363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9621657Medicaid
WA9621657Medicaid
WAAB09935Medicare PIN