Organization Name: | HERKIMER FAMILY NURSE PRACTITIONERS PLLC |
NPI Number: | 1053742924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE GORSKI (FNP) |
Mailing Address: | 237 E Steele St Herkimer |
State: | NY US |
Postal Code: | 133502421 |
Phone Number: | 3158680903 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |