Gourley, Peter Gordon

Gourley, Peter Gordon is an individual health care provider with primary practice located at 1130 W Prairie Ave , Coeur D Alene ID 83815-8780. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gourley, Peter Gordon can be contacted via phone (208) 209-0288.

Contact Information

Primary practice address
1130 W Prairie Ave Coeur D Alene ID 83815-8780
Phone: (208) 209-0288
Fax: (208) 209-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30005913 Washington

Profile Details

NPI number 1114961240
LBN Legal business name Gourley, Peter Gordon
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 11th, 2016 - about 8 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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