Individual
MISS TERESA ANN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
11 NEVINS ST, SUITE 401, BRIGHTON, MA 02135
(617) 782-7788
(617) 783-5657
Mailing address
11 NEVINS ST, 4RD FLOOR, BRIGHTON, MA 02135
(617) 999-2965
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN280238
MA
Other
Enumeration date
10/23/2009
Last updated
10/22/2010
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