Individual
KATHLEEN ANN GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-A
Contact information
Practice address
450 GARRISONVILLE RD STE 109, STAFFORD, VA 22554-1532
(703) 522-2727
(703) 542-3753
Mailing address
450 GARRISONVILLE RD, STE 109, STAFFORD, VA 22554-1532
(703) 522-2727
(703) 542-3753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024171732
VA
Other
Enumeration date
10/02/2008
Last updated
07/21/2022
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