# MS. DAWN GORMELY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659359792
- **Gender:** F
- **Credential:** FNPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | MTRN016908 | MT | Yes |

## Other

- **Enumeration date:** 01/09/2006
- **Last updated:** 02/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37086 | BCBS | MT |
| 05 | — | 439036 | — | MT |
| 01 | — | 50006414 | RAILROAD MEDICARE | MT |