Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEGANNE GOURLEY, PA-C, ATC
ActiveMEGANNE GOURLEY, PA-C, ATC is a Physician Assistant healthcare provider located in FARIBAULT, Minnesota. NPI 1275646978 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARIBAULT, MN
Registration Details
- NPI Number
- 1275646978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2006 (19.95507773208 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
1503203 (KS)085-006084 (IL)12581 (MN)
Practice Information
- Address
-
100 STATE AVEFARIBAULT, MN, 550216337Browse MN providers · Browse ZIP 55021
- Phone
- 5073343921
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FARIBAULT, MN
| Name | Credential | NPI |
|---|---|---|
| TRAVIS L ROETHLER | PA-C | 1164400057 |
| MRS. DEBRA MARY MCGUIRE LANG | PA-C | 1649233081 |
| MR. CHRISTOPHER J CHURCH | PA | 1417022690 |
| MR. NICHOLAS ALEXANDER TOBIANSKI | PA-C | 1417258179 |
| MRS. JENNIFER HART | PA-C | 1932461480 |
| ERIN BRAUN | PA-C, RD | 1659770147 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.