Individual
ANN MARIE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 BELMONT AVE STE 1, BRATTLEBORO, VT 05301-6762
(802) 251-9965
(802) 257-8834
Mailing address
17 BELMONT AVE, BRATTLEBORO, VT 05301
(802) 251-9965
(802) 257-8834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010030543
VT
363LA2200X
Adult Health Nurse Practitioner
RN2269517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120196
—
NH
05
—
6702289
—
VT
Enumeration date
06/21/2006
Last updated
04/13/2022
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