Kathleen Ann Gorham, CRNP-A | |
450 Garrisonville Rd Ste 109, Stafford, VA 22554-1532 | |
(703) 522-2727 | |
(703) 542-3753 |
Full Name | Kathleen Ann Gorham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 450 Garrisonville Rd Ste 109, Stafford, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386895860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0024171732 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Palliative Care Consultants Llc | 8022902600 | 6 |
Entity Name | Capital Palliative Care Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541013 PECOS PAC ID: 8022902600 Enrollment ID: O20050729000870 |
Entity Name | Center For Pain Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20081125000276 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Ann Gorham, CRNP-A 450 Garrisonville Rd, Ste 109, Stafford, VA 22554-1532 Ph: (703) 522-2727 | Kathleen Ann Gorham, CRNP-A 450 Garrisonville Rd Ste 109, Stafford, VA 22554-1532 Ph: (703) 522-2727 |
Tara Clark, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 422 Garrisonville Rd Ste 102, Stafford, VA 22554 Phone: 540-657-4800 | |
Amanda O'donnell, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 Ocala Way, Stafford, VA 22556 Phone: 571-244-3434 | |
Kelly Nicole Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Center Blvd, Stafford, VA 22554 Phone: 540-741-1100 | |
Patricia Konadu Amankwa, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Whitestone Dr, Stafford, VA 22556 Phone: 703-203-2136 | |
Mrs. Angie Marie Burt, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Center Street, Suite 101, Stafford, VA 22556 Phone: 540-288-2222 Fax: 703-858-3529 | |
Eunice N Esunge, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 422 Garrisonville Rd, Suite 101, Stafford, VA 22554 Phone: 540-657-9441 Fax: 540-657-4366 | |
Dr. Godfried Asare Kenah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 Crab Apple Dr, Stafford, VA 22554 Phone: 703-213-9005 |