Basic Information
| Provider Information | |||||||||
| NPI: | 1780645341 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GORSKI | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1307 HILLTOP LN | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | IA | ||||||||
| PostalCode: | 525564134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414728814 | ||||||||
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| Practice Location | |||||||||
| Address1: | MAHASKA HOSPITAL | ||||||||
| Address2: | 1229 C AVE | ||||||||
| City: | OSKALOOSA | ||||||||
| State: | IA | ||||||||
| PostalCode: | 52577 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6416723100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 0024166612 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.