Gourley, Maranda

Gourley, Maranda is an individual health care provider with primary practice located at 50 Grand Ave , New Haven CT 06513-3949. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gourley, Maranda can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
50 Grand Ave New Haven CT 06513-3949
Phone: (203) 777-7411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 153396 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9041 Connecticut

Profile Details

NPI number 1730713512
LBN Legal business name Gourley, Maranda
Credentials MPH, MSN, PNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2020
Last updated Feb 9th, 2021 - about 4 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.

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