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Individual

ANNA GORHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, PMHNP-C

Contact information

Practice address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 259-8765
Mailing address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-169411
AL
363L00000X
Nurse Practitioner
Primary
1-169411
AL

Other

Enumeration date
12/28/2019
Last updated
11/11/2025
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