MRS. BRIDGITTE C. GOURLEY (NPI# 1689646218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689646218 |
| Entity Type | Individual |
| Full Name | MRS. BRIDGITTE C. GOURLEY |
| Other Name | MS. BRIDGITTE C PATTERSON |
| Credential | CRNP |
| Practice Address |
1419 Forest Dr Annapolis MD 21403-1482 |
| Practice Telephone | 4109900050 |
| Practice Fax Number | 4109900336 |
| Mailing Telephone | 4109900050 |
| Mailing Fax Number | 4109900336 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R139679 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 839600100 | 05 |
| Street Address |
1419 FOREST DR |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198829 | Errol A Phillip | Family Medicine | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2005-07-20 |
| 1831688902 | Rogers Bond Belch | Social Worker | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2018-05-04 |
| 1598299752 | Sarah Emily Willie Broadwell | Social Worker | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2017-04-14 |
| 1457805202 | Leigh S Ragan | Counselor | 1419 Forest Dr, Suite 102, Annapolis, MD 21403-1482 | 2016-08-10 |
| 1073950671 | Aamc Community Clinics, LLC | Family Medicine | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2013-05-23 |
| 1477862308 | Anne Arundel Physician Group LLC | Internal Medicine | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2010-09-27 |
| 1134365778 | Chesapeake Occupational Therapy Associates, LLC | Clinic/Center | 1419 Forest Dr, Suite 210, Annapolis, MD 21403-1482 | 2009-01-04 |
| 1316132277 | Susan D. Loftis | Social Worker | 1419 Forest Dr, Suite # 205, Annapolis, MD 21403-1482 | 2007-09-12 |
| 1710037759 | First Step Recovery Center, Inc. | Community/Behavioral Health | 1419 Forest Dr, Suite 104, Annapolis, MD 21403-1482 | 2007-01-11 |
| 1578628202 | Marlys Sandve Mcdevitt | Nurse Practitioner | 1419 Forest Dr, Annapolis, MD 21403-1482 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807841 | Lauren Audrey Skinner | Nurse Practitioner | 616 Admiral Dr Apt 377, Annapolis, MD 21401-7526 | 2020-07-06 |
| 1174186589 | Danielle Bagdon | Nurse Practitioner | 726 Darlow Dr, Annapolis, MD 21409-7501 | 2019-04-22 |
| 1689163412 | Crystal Moss Patterson | Nurse Practitioner | 1910 Towne Centre Blvd Ste 210, Annapolis, MD 21401-3675 | 2018-05-07 |
| 1881193829 | Lauren Usilton | Nurse Practitioner | 2000 Medical Pkwy Ste 607, Annapolis, MD 21401-3748 | 2018-02-05 |
| 1467968503 | Brooke Anne Calhoun | Nurse Practitioner | 2000 Medical Pkwy Ste 310, Annapolis, MD 21401-3754 | 2017-12-27 |
| 1790206266 | Krista Jean Roberts | Nurse Practitioner | 1616 Forest Dr Ste 1, Annapolis, MD 21403-1019 | 2017-07-05 |
| 1588113435 | Ashley Arleen Starnes | Nurse Practitioner | 202 N Allen St, Annapolis, MO 63620-8778 | 2016-10-03 |
| 1689856353 | Lorri Tereese King | Nurse Practitioner | 1911 Towne Centre Blvd, Annapolis, MD 21401-3020 | 2007-12-04 |
| 1093901274 | Deborah M. Reid | Nurse Practitioner | 105 Annapolis St Ste B, Annapolis, MD 21401-1360 | 2007-09-20 |
| 1518925023 | Anne P Stelmash | Nurse Practitioner | 2000 Medical Pkwy Ste 510, Annapolis, MD 21401-3747 | 2006-05-03 |
| Find all providers in ANNAPOLIS | ||||
Please comment or provide details below to improve the information on MRS. BRIDGITTE C. GOURLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.