Provider Demographics
NPI:1568062172
Name:GOMEZ, CINTHIA B (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CINTHIA
Middle Name:B
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CINTHIA
Other - Middle Name:B
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:8401 EDGEMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3922
Mailing Address - Country:US
Mailing Address - Phone:915-202-9213
Mailing Address - Fax:
Practice Address - Street 1:8401 EDGEMERE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3922
Practice Address - Country:US
Practice Address - Phone:915-202-9213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015205363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily