Gormley, Maureen Kearns
Gormley, Maureen Kearns is an individual health care provider with primary practice located at 300 Longwood Ave Pre-Op Clinic, Boston MA 02115-5724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gormley, Maureen Kearns can be contacted via phone (617) 355-3773.Contact Information
Primary practice address
300 Longwood Ave Pre-Op Clinic
Boston MA 02115-5724
Phone: (617) 355-3773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 269386 | Massachusetts |
Profile Details
| NPI number | 1659773786 |
|---|---|
| LBN Legal business name | Gormley, Maureen Kearns |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Oct 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659773786 | NPPES |
| Massachusetts | Other | 613247 | STATE OF MASSACHUSETTS |
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