Individual provider · Type 1 NPI

Mary Gorman, N.P.

Nurse Practitioner · Troy, MI

NPI number 1205807286 Active

Practice location

4967 Crooks Rd Ste 130
Troy, MI 48098-5812

Fax (734) 402-0254

Mailing address

4967 Crooks Rd, Ste. 130
Troy, MI 48098-5801

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704079294 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205807286

Mary Gorman, N.P.'s National Provider Identifier is 1205807286, issued on Jan 30, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Troy, MI. The record was last updated on Nov 15, 2013.