Gormley, Honore S

Gormley, Honore S is an individual health care provider with primary practice located at 455 Lewis Ave Ste 206 , Meriden CT 06451-2121. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gormley, Honore S can be contacted via phone (203) 238-9446.

Contact Information

Primary practice address
455 Lewis Ave Ste 206 Meriden CT 06451-2121
Phone: (203) 238-9446
Fax: (203) 238-9447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X E61265 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002988 Connecticut

Profile Details

NPI number 1487663118
LBN Legal business name Gormley, Honore S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jun 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487663118 NPPES
Connecticut MEDICAID 004245602

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