Carissa Gorham

  • NPI 1407259559
According to our database, the NPI number for Carissa Gorham is 1407259559 and activated since 9 years ago. Carissa Gorham is an individual provider who specializes in Clinical Nurse Specialist, and the primary practice location is 530 Ne Glen Oak Ave, Peoria, IL 61637. You can also contact Carissa Gorham via telephone number is (309) 655-3000. Provider NPI information was last updated on 10/03/2014.

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Overview of Carissa Gorham

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/03/2014
  • Last updated: 10/03/2014

Primary Scrop of Practice

  • Taxonomy Code: 364S00000X
  • Specialty: Clinical Nurse Specialist
  • License Number: 041338732
  • License State: IL

Provider Mailing Address

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-3000
  • Fax:

Provider Practice Location

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-3000
  • Fax:

Scope of Practice

  • Taxonomy Code: 364S00000X
  • Specialty: Clinical Nurse Specialist
  • License Number: 041338732
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Carissa Gorham?
  • A: The npi number for Carissa Gorham is 1407259559.
  • Q: What are Carissa Gorham's specialties?
  • A: Carissa Gorham's specialties are Clinical Nurse Specialist and different specialities.
  • Q: What is the medical license for Carissa Gorham?
  • A: The medical license number for Carissa Gorham is 041338732 and issued in IL in USA.
  • Q: Where is Carissa Gorham practice location?
  • A: Carissa Gorham is practicing at 530 Ne Glen Oak Ave, Peoria, IL 61637.
  • Q: How to contact Carissa Gorham?
  • A: You can contact Carissa Gorham via 309-655-3000.
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