Individual
SHARON MARIE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3959 BEN WALTERS, HOMER, AK 99603
(907) 235-3436
Mailing address
3959 BEN WALTERS, HOMER, AK 99603
(907) 235-3436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15582
AK
367A00000X
Advanced Practice Midwife
302
AK
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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