Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Annaliese Justine Gorham, CRNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1205792629

MS. Annaliese Justine Gorham, CRNP, FNP-BC is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3141 Chestnut St
Philadelphia, PA 19104-2875
Phone: (215) 895-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025089303 (PA)

Record details

NPI number1205792629
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , FNP-BC
Sole proprietorYes
NPI enumeratedDecember 30, 2025
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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