Provider Demographics
NPI:1750180345
Name:GOURLAY, HANNAH KATELYN
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATELYN
Last Name:GOURLAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 CRESCENT DR APT 117
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1073
Mailing Address - Country:US
Mailing Address - Phone:402-570-5940
Mailing Address - Fax:
Practice Address - Street 1:3101 CRESCENT DR APT 117
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1073
Practice Address - Country:US
Practice Address - Phone:402-570-5940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion