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MARY GORMAN N.P.
NPI 1205807286
Nurse Practitioner in Troy, MI

Active since January 30, 2006
4967 CROOKS RD STE 130, TROY, MI 48098(248) 952-1601(734) 402-0254 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Gorman N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GORMAN N.P. (NPI 1205807286) is an individual nurse practitioner in Troy, Michigan, licensed in Michigan (4704079294) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1205807286
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY GORMANCredential: N.P.
Location Address4967 CROOKS RD STE 130Troy, MI 48098-5812
Mailing Address4967 Crooks Rd, Ste. 130Troy, MI 48098-5801 · (248) 952-1601 · Fax (248) 952-0192
Phone(248) 952-1601
Fax(734) 402-0254
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateNovember 15, 2013
✔ NPI 1205807286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704079294
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4967 CROOKS RD STE 130, Troy, MI 48098
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Other Identifiers 1

Medicare UPINS79752

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL MARIE ELLIS P.A.
Physician Assistant
4967 CROOKS RD STE 130
TROY, MI 48098
Oakland County (248) 952-1601
DR. PADMAJA NAIDU M.D.
Internal Medicine
4967 CROOKS RD STE 130
TROY, MI 48098
Oakland County (248) 952-1601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gorman's NPI number?

The NPI number for Mary Gorman is 1205807286. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Mary Gorman located?

Mary Gorman practices at 4967 Crooks Rd Ste 130, Troy, MI 48098. The listed phone number is (248) 952-1601.

What is Mary Gorman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Gorman was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.