Mary P Gospodarek in Two Rivers - Nurse Practitioner
Mary P Gospodarek - NPI 1386683563
Mary P Gospodarek is a Nurse Practitioner in Two Rivers, Wisconsin. Mary P Gospodarek practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary P Gospodarek is 1386683563. The last update date is 2021-11-22.
Mary P Gospodarek's current location address is 2219 Garfield St, Two Rivers, Wisconsin. You can contact this provider via phone number 9207932281. The mailing address for Mary P Gospodarek is 2219 Garfield St, Two Rivers, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary P Gospodarek |
|---|---|
| Address | 2219 Garfield St, Two Rivers, Wisconsin |
| Phone Number | 9207932281 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1386683563 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2021-11-22 |
Provider Mailing Address Detail
| Address | 2219 Garfield St |
|---|---|
| City | Two Rivers |
| State | Wisconsin (WI) |
| Post Code | 542412416 |
| Phone Number | 9207932281 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1539 |
|
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 certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43904900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary P Gospodarek?
The Mary P Gospodarek has been issued the NPI (National Provider Identifier) 1386683563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary P Gospodarek?
The Mary P Gospodarek is situated at 2219 Garfield St, in the city of Two Rivers, state of WI, with the zip code 542412416.
What is the Mary P Gospodarek's area of specialization and corresponding taxonomy classification?
The Mary P Gospodarek's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mary P Gospodarek receive the assignment of its 1386683563 from the Centers for Medicare & Medicaid Services?
The Mary P Gospodarek was issued its 1386683563 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information related to Mary P Gospodarek most recently updated or refreshed?
The details pertaining to the Mary P Gospodarek, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-22.