Individual
KATHLEEN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
21909 N 120TH AVE, SUN CITY, AZ 85373-5672
(602) 549-3443
(623) 492-0390
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
101-0134511
VT
363LN0005X
Critical Care Neonatal Nurse Practitioner
096168
AZ
Other
Enumeration date
04/26/2006
Last updated
03/27/2025
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