Individual provider · Type 1 NPI

Maranda Gourley, MPH, MSN, PNP-PC

Pediatric Nurse Practitioner · New Haven, CT

NPI number 1730713512 Active

Practice location

50 Grand Ave
New Haven, CT 06513-3949

Mailing address

226 Bishop St Fl 3
New Haven, CT 06511-3718

Other practice locations

  • 55 Lock St, New Haven, CT 06511-3603 · (203) 432-0206

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X153396 (CT)
Pediatric Nurse Practitioner Primary 363LP0200X9041 (CT)

Pediatric Nurse Practitioner: Definition to come...

9 other providers at this address

Other pediatric nurse practitioner providers in New Haven

See all in New Haven →

About NPI 1730713512

Maranda Gourley, MPH, MSN, PNP-PC's National Provider Identifier is 1730713512, issued on Mar 2, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Feb 9, 2021.