Individual
HALEY N GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
878 W STAR ST, GREENVILLE, NC 27834-0844
(252) 531-9809
Mailing address
878 W STAR ST, GREENVILLE, NC 27834-0844
(252) 531-6444
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
352800
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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