MEGANNE GOURLEY, PA-C, ATC
Physician Assistant
Active
Individual
NPI: 1275646978
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | 1503203 (KS) |
| Physician Assistant | 363A00000X | Yes | 12581 (MN) |
Frequently Asked Questions
NPI 1275646978 is the National Provider Identifier for MEGANNE GOURLEY, PA-C, ATC, a Physician Assistant provider located in Faribault, MN. This NPI was enumerated on August 16, 2006.
MEGANNE GOURLEY, PA-C, ATC practices at 100 STATE AVE, Faribault, MN 55021.
Quick Facts
- NPI
- 1275646978
- Type
- Individual
- Enumerated
- Aug 16, 2006
- Last Updated
- Dec 17, 2025
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