Provider Demographics
NPI:1073291233
Name:GOMEZ, CLAUDIA LUCIA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:LUCIA
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MCINTOSH CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5164
Mailing Address - Country:US
Mailing Address - Phone:984-222-4749
Mailing Address - Fax:
Practice Address - Street 1:540 NEW WAVERLY PL STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7422
Practice Address - Country:US
Practice Address - Phone:919-954-4159
Practice Address - Fax:919-954-4445
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine