# AMANDA R GORECKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801824982
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 14-86790-082 | KS | Yes |
| 363L00000X | Nurse Practitioner | NP212379 | GA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 09/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100395070A | — | KS |
| 05 | — | 100395070B | — | KS |
| 01 | — | 160635 | BCBS | KS |
| 01 | — | 161418 | BCBS | KS |
