Doctor Name: | MS. KATHERINE A GURLEY |
NPI Number: | 1144563073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A003841 |
Business Practice Address: | 1100 Medical Dr Suite C Blytheville, AR - 723151425 |
Business Phone Number: | 8708242809 |
Business Fax Number: | |
Mailing Address: | 30 Burton Hills Blvd, Ste 175 NASHVILLE |
State: | TN |
Postal Code: | 372156403 |
Phone Number: | 6159882014 |
Fax Number: | 6155230647 |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A003841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |