Individual
ANDREA GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
81 SOUTHLAND TER, BROCKTON, MA 02301-7045
(508) 232-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283689
MA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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