Individual
MRS. SUSAN RENEE GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-9396
Mailing address
1101 BUCKINGHAM DR, TALLAHASSEE, FL 32308-5212
(808) 393-6622
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
APRN11019452
FL
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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