Active NPIIndividual provider

Ann Marie Gorham, APRN

Nurse Practitioner in Brattleboro, Vermont

NPI Number1699711168
Practice location
21 Belmont Ave Ste 1, Brattleboro, VT 05301-6762
Fax
802-257-8834
Last updated
April 13, 2022

Ann Marie Gorham is a Nurse Practitioner based in Brattleboro, VT. Ann Marie Gorham practices in Brattleboro, VT and has the professional credentials of APRN. The NPI Number for Ann Marie Gorham is 1699711168 and holds a License No. RN2269517 (MA). The current practice location address for Ann Marie Gorham is 21 Belmont Ave Ste 1, Brattleboro, VT 05301-6762 and can be reached out via phone at 802-251-9965 and via fax at 802-257-8834.

Provider Profile Details

NPI Number
1699711168
Provider Name
Ann Marie Gorham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
21 Belmont Ave Ste 1, Brattleboro, VT 05301-6762
Phone Number
802-251-9965
Fax Number
802-257-8834
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2006
Last Update Date
April 13, 2022
Certification Date
April 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Belmont Ave Ste 1
Brattleboro, VT 05301-6762
State
Vermont
Zip
05301-6762
Phone Number
802-251-9965
Fax Number
802-257-8834
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
17 Belmont Ave
Brattleboro, VT 05301
City
Brattleboro
State
VT
Zip
05301
Phone Number
802-251-9965
Fax Number
802-257-8834

License Information

License Number (1)
RN2269517
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
1010030543
License State (2)
VT
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ann Marie Gorham, APRN?

The NPI number of Ann Marie Gorham, APRN is 1699711168. It was assigned on June 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ann Marie Gorham, APRN?

Ann Marie Gorham, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2269517.

Where does Ann Marie Gorham, APRN practice?

The practice location is 21 Belmont Ave Ste 1, Brattleboro, VT 05301-6762. The office can be reached at 802-251-9965 (phone) or 802-257-8834 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699711168 directly on the NPPES registry website.

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