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NPI Code Detail

MEDICARE: CHELSEA ANN GOURLEY

MEDICARE: CHELSEA ANN GOURLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1720869969
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA ANN GOURLEY
Provider Business Mailing Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-336-1845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 02/06/2026

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Directions to “ CHELSEA ANN GOURLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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