Provider Demographics
NPI:1205711017
Name:GOMEZ NELSON, MARIA (CNA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:GOMEZ NELSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11401 TULIP POPLAR TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6070
Mailing Address - Country:US
Mailing Address - Phone:301-388-6385
Mailing Address - Fax:
Practice Address - Street 1:11401 TULIP POPLAR TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6070
Practice Address - Country:US
Practice Address - Phone:301-388-6385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00045530376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide