Individual provider · Type 1 NPI
Peter Gordon Gourley, ARNP
Psychiatric/Mental Health Nurse Practitioner · Coeur D Alene, ID
NPI number
1114961240
Active
Practice location
1111 W Ironwood Dr Ste B
Coeur D Alene, ID 83814-2604
Fax (208) 664-5867
Mailing address
2481 Halleberry
Hayden, ID 83835-8339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP30005913 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1114961240
Peter Gordon Gourley, ARNP's National Provider Identifier is 1114961240, issued on Jun 16, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jan 6, 2025.