Individual provider · Type 1 NPI
Carissa Gorham
Clinical Nurse Specialist · Peoria, IL
NPI number
1407259559
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist Primary | 364S00000X | 041338732 (IL) |
Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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About NPI 1407259559
Carissa Gorham's National Provider Identifier is 1407259559, issued on Oct 3, 2014. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 3, 2014.