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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA GORHAM

Active

CARISSA GORHAM is a Clinical Nurse Specialist healthcare provider located in PEORIA, Illinois. NPI 1407259559 is currently active in the NPPES registry. Verify at CMS.

Clinical Nurse Specialist · PEORIA, IL

Registration Details

NPI Number
1407259559
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2014 (11.89490384554 yrs)
Last Updated
Oct 3, 2014
License
041338732 (IL)

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616370001
Browse IL providers · Browse ZIP 61637
Phone
3096553000
Primary Specialty
Clinical Nurse Specialist
364S00000X

Other Clinical Nurse Specialist Providers in PEORIA, IL

Name Credential NPI
MRS. CRISTIN MARIA RASSI APN CNS 1316930001
DEBRA E BEACH APN 1013945849
NANCY E. WIEMERS CNS 1760416689
MRS. JANICE MARIE BOERKE APN CNS 1518992809
CYNTHIA NESS CNS 1649287137
MELISSA J. DYE 1467575092
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.