Provider Demographics
NPI:1508374042
Name:GOMES, ANA (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:GOMES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 TECHNOLOGY WAY UNIT 4E9
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3245
Mailing Address - Country:US
Mailing Address - Phone:603-600-8513
Mailing Address - Fax:603-600-8503
Practice Address - Street 1:69 TECHNOLOGY WAY UNIT 4E9
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3245
Practice Address - Country:US
Practice Address - Phone:603-600-8513
Practice Address - Fax:603-600-8503
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2313809163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse