Individual
NICHOLAS GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014020808
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2021022392
MO
Other
Enumeration date
06/08/2021
Last updated
06/17/2021
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