LOREN EBRADA GOMES APRN NPI 1972277622

NPI Information

NPI: 1972277622
Provider Name: LOREN EBRADA GOMES, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1690 DUNLAWTON AVE
PORT ORANGE, FL
ZIP 32127
Phone: (386) 271-2273
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Loren Ebrada Gomes, APRN is a primary care nurse practitioner in Port Orange, FL with 4 years of experience. Loren Ebrada Gomes, APRN NPI is 1972277622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1690 DUNLAWTON AVE
PORT ORANGE, FL
ZIP 32127-979
Phone: (386) 271-2273

The NPI 1972277622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 10/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	F12200547	FLORIDA	No
2	363LP2300X	Nurse Practitioner	Primary Care	11011081	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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