Individual
MICHAEL GURNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6409
(928) 714-6480
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6409
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PA2576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623414
—
AZ
Enumeration date
10/21/2005
Last updated
07/08/2007
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