| Doctor Name: | MR. THOMAS M GORMLEY |
| NPI Number: | 1336132877 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP |
| License Number: | 405 |
| Business Practice Address: | 724 Postal Service Loop #7460 Fort Richardson, AK - 995055001 |
| Business Phone Number: | 9073840405 |
| Business Fax Number: | 9073840380 |
| Mailing Address: | 724 Postal Service Loop, #7460 FORT RICHARDSON |
| State: | AK |
| Postal Code: | 995055001 |
| Phone Number: | 9073840405 |
| Fax Number: | 9073840380 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 10/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |