Holly Lynn Gomez-Levine in Superior - Psychiatric/mental Health

Holly Lynn Gomez-Levine - NPI 1881857167

Holly Lynn Gomez-Levine is a Psychiatric/mental Health in Superior, Wisconsin. Holly Lynn Gomez-Levine practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Holly Lynn Gomez-Levine is 1881857167. The last update date is 2019-05-22.

Holly Lynn Gomez-Levine's current location address is 3500 Tower Ave, Superior, Wisconsin. You can contact this provider via phone number 7158177100 and fax number 4064578992. The mailing address for Holly Lynn Gomez-Levine is 3500 Tower Ave, Superior, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly Lynn Gomez-Levine
Address 3500 Tower Ave, Superior, Wisconsin
Phone Number 7158177100
Fax Number 4064578992
Sole Proprietor Y
Credentials APRN, CNP

NPI Number Detail

NPI Number 1881857167
Provider Enumeration Date 2008-07-07
Last Updated Date 2019-05-22

Provider Mailing Address Detail

Address 3500 Tower Ave
City Superior
State Wisconsin (WI)
Post Code 548804491
Phone Number 7158177100
Fax Number 4064578992

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 100926
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
371733 MT BLUE CROSS-SHIELD OF MONTANA
P01206032 C01 MT RAILROAD MEDICARE FOR C4MH

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FAQs about Holly Lynn Gomez-Levine

What is the unique identifier code issued to Holly Lynn Gomez-Levine by the Centers for Medicare & Medicaid Services?

The Holly Lynn Gomez-Levine has been assigned the NPI (National Provider Identifier) 1881857167. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Holly Lynn Gomez-Levine's facilities are situated?

The facilities of Holly Lynn Gomez-Levine are physically located at the following address: 3500 Tower Ave, Superior, WI, 548804491.

What is Holly Lynn Gomez-Levine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Holly Lynn Gomez-Levine is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.

On what date did the Holly Lynn Gomez-Levine receive its 1881857167 assignment from the Centers for Medicare & Medicaid Services?

The Holly Lynn Gomez-Levine was assigned its 1881857167 by the Centers for Medicare & Medicaid Services on 2008-07-07.

When was the information regarding Holly Lynn Gomez-Levine most recently updated?

The details pertaining to the Holly Lynn Gomez-Levine, including its address, specialty, and other relevant information, were last refreshed on 2019-05-22.

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