Provider Demographics
NPI:1558682666
Name:GORMAN, FRANCES J (ADULT NP)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:J
Last Name:GORMAN
Suffix:
Gender:F
Credentials:ADULT NP
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:J
Other - Last Name:WAHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-C
Mailing Address - Street 1:8540 SCARBOROUGH DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7502
Mailing Address - Country:US
Mailing Address - Phone:719-358-8270
Mailing Address - Fax:719-358-8299
Practice Address - Street 1:8540 SCARBOROUGH DR
Practice Address - Street 2:SUITE 370
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7502
Practice Address - Country:US
Practice Address - Phone:719-358-8270
Practice Address - Fax:719-358-8299
Is Sole Proprietor?:No
Enumeration Date:2010-06-13
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP10199363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO375009ZKH0Medicare PIN