Individual
MRS. COLLEEN ERIN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
140 SAMOSET ST STE 2, PLYMOUTH, MA 02360-4802
(508) 209-5362
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
084003-23
NH
363LF0000X
Family Nurse Practitioner
CNP211281
ME
363LF0000X
Family Nurse Practitioner
Primary
RN250610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110131816A
—
MA
Enumeration date
06/20/2016
Last updated
11/22/2023
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