Provider Demographics
NPI:1073104527
Name:GAONA, HOPE J
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:J
Last Name:GAONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 ALBERTA LN NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2404
Mailing Address - Country:US
Mailing Address - Phone:505-977-1946
Mailing Address - Fax:505-554-1389
Practice Address - Street 1:5004 ALBERTA LN NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2404
Practice Address - Country:US
Practice Address - Phone:505-977-1946
Practice Address - Fax:505-554-1389
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM7000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health