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NPI Code Detail

MEDICARE: DANA MARIE GURLEY RN

MEDICARE: DANA MARIE GURLEY RN
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
12084P0804XChild & Adolescent Psychiatry Physician5023382NC
2163WP0808XPsychiatric/Mental Health Registered Nurse346441NC

General Provider Information

NPI Number : 1639961261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MARIE GURLEY RN
Provider Business Mailing Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112-5834
Country : US
Telephone Number : 704-764-1818
Fax Number :
Provider Business Practice Location Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112-5834
Country : US
Telephone Number : 704-764-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2025
Last Update Date : 11/03/2025

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Directions to “ DANA MARIE GURLEY RN” Practice Location

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