Provider Demographics
NPI:1720349103
Name:GOMEZ, NATALIE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 PARTHENON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1249
Mailing Address - Country:US
Mailing Address - Phone:731-394-4288
Mailing Address - Fax:
Practice Address - Street 1:8141 HIGHWAY 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:TN
Practice Address - Zip Code:37221-4213
Practice Address - Country:US
Practice Address - Phone:615-515-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000161039163W00000X
TNAPN0000015860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse