Individual
MARY GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1508 WILSON LN, WEST CHESTER, PA 19380-6335
(610) 659-3387
Mailing address
1508 WILSON LN, WEST CHESTER, PA 19380-6335
(610) 659-3387
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP28118
PA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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