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Maranda Gourley, MPH,MSN,PNP-PC
Pediatric Nurse Practitioner in New Haven, Connecticut
NPI 1730713512

Maranda Gourley is a Pediatric Nurse Practitioner based in New Haven, CT and is specialized in Pediatrics. Maranda Gourley practices in New Haven, CT and has the professional credentials of MPH,MSN,PNP-PC. The NPI Number for Maranda Gourley is 1730713512 and holds a License No. 153396 (Connecticut).

The current practice location address for Maranda Gourley is 50 Grand Ave, New Haven, CT and can be reached out via phone at 203-777-7411.

Location: 50 Grand Ave, New Haven, CT, 06511-3718
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Provider Profile Details
NPI Number
1730713512
Provider Name
Maranda Gourley
Credential
MPH,MSN,PNP-PC
Provider Entity Type
Individual
Gender
Female
Address
50 Grand Ave, New Haven, CT, 06511-3718
Phone Number
203-777-7411
Fax Number
Provider Enumeration Date
03/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 Grand Ave
City
State
Zip
06513-3949
Phone Number
203-777-7411
Fax Number
person
Provider Business Mailing Address Details
Address
50 Grand Ave
City
State
Zip
06513-3949
Phone Number
203-777-7411
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
9041 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
153396 (Connecticut)
Definition
Definition to come...
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