person
Peter Gordon Gourley, ARNP
Psychiatric/Mental Health Nurse Practitioner in Coeur D Alene, Idaho
NPI 1114961240

Peter Gordon Gourley is a Psychiatric/Mental Health Nurse Practitioner based in Hayden, ID and is specialized in Psychiatric/Mental Health. Peter Gordon Gourley practices in Coeur D Alene, ID and has the professional credentials of ARNP. The NPI Number for Peter Gordon Gourley is 1114961240 and holds a License No. AP30005913 (Idaho).

The current practice location address for Peter Gordon Gourley is 1111 W Ironwood Dr Ste B, Coeur D Alene, ID and can be reached out via phone at 208-664-1594 and via fax at 208-664-5867.

Location: 1111 W Ironwood Dr Ste B, Coeur D Alene, ID, 83835-8339
person
Provider Profile Details
NPI Number
1114961240
Provider Name
Peter Gordon Gourley
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
1111 W Ironwood Dr Ste B, Coeur D Alene, ID, 83835-8339
Phone Number
208-664-1594
Fax Number
208-664-5867
Provider Enumeration Date
06/16/2006
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1111 W Ironwood Dr Ste B
City
State
Zip
83814-2604
Phone Number
208-664-1594
Fax Number
208-664-5867
person
Provider Business Mailing Address Details
Address
1111 W Ironwood Dr Ste B
City
State
Zip
83814-2604
Phone Number
208-664-1594
Fax Number
208-664-5867
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP30005913 (Washington)
Definition
Definition to come...
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