Patricia Gourlay in Traverse City - Nutrition, Renal
Patricia Gourlay - NPI 1134313190
Patricia Gourlay is a Nutrition, Renal in Traverse City, Michigan. Patricia Gourlay practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Patricia Gourlay is 1134313190. The last update date is 2007-09-04.
Patricia Gourlay's current location address is 4062 W Royal Dr, Traverse City, Michigan. You can contact this provider via phone number 2319350466 and fax number 2319350467. The mailing address for Patricia Gourlay is 4062 W Royal Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Gourlay |
|---|---|
| Address | 4062 W Royal Dr, Traverse City, Michigan |
| Phone Number | 2319350466 |
| Fax Number | 2319350467 |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1134313190 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 4062 W Royal Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496848965 |
| Phone Number | 2319350466 |
| Fax Number | 2319350467 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Patricia Gourlay by the Centers for Medicare & Medicaid Services?
The Patricia Gourlay has been issued the NPI (National Provider Identifier) 1134313190 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Patricia Gourlay?
The Patricia Gourlay is physically situated at 4062 W Royal Dr, in the city of Traverse City, state of MI, with the postal code 496848965.
What is Patricia Gourlay's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patricia Gourlay is Nutrition, Renal, and the taxonomy classification code that categorizes this area of expertise is 133Vn1005X.
When did the Patricia Gourlay receive its 1134313190?
The Patricia Gourlay was issued its 1134313190 on 2007-09-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Patricia Gourlay, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Patricia Gourlay, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-04.
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