Individual provider · Type 1 NPI

Balfour Anthony Gore

Psychiatric/Mental Health Nurse Practitioner · Newark, DE

NPI number 1154941029 Active

Practice location

100 Rockford Dr
Newark, DE 19713-2120

Mailing address

1206 River Rd Apt 2
Wilmington, DE 19809-2402

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XL8-0000205 (DE)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1154941029

Balfour Anthony Gore's National Provider Identifier is 1154941029, issued on Apr 21, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, DE. The record was last updated on Apr 21, 2020.