Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00537700 | NJ |
N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00537700 | NJ |
NPI | 1073910519 |
---|---|
Provider Name | Rosemary D Gorman |
First Address | Red Bank, NJ 07701-4702 |
Second Address | Red Bank, NJ 07701-4702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2014 |
Last Update Date | 26/11/2014 |