Individual
MRS. HONORE S GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
455 LEWIS AVE STE 206, MERIDEN, CT 06451-2121
(203) 238-9446
(203) 238-9447
Mailing address
609 WARD STREET EXT, WALLINGFORD, CT 06492-4742
(860) 740-6811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E61265
CT
363L00000X
Nurse Practitioner
Primary
002988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245602
—
CT
Enumeration date
08/05/2006
Last updated
06/05/2020
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