Gourley, Bridgitte C.
Gourley, Bridgitte C. is an individual health care provider with primary practice located at 1419 Forest Dr , Annapolis MD 21403-1482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gourley, Bridgitte C. can be contacted via phone (410) 990-0050.Contact Information
Primary practice address
1419 Forest Dr
Annapolis MD 21403-1482
Phone: (410) 990-0050
Fax: (410) 990-0336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R139679 | Maryland |
Profile Details
| NPI number | 1689646218 |
|---|---|
| LBN Legal business name | Gourley, Bridgitte C. |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Nov 21st, 2013 - about 11 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 | 1689646218 | NPPES |
| Maryland | MEDICAID | 839600100 |
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