Individual
JOEY VORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
657 E MAIN ST, ANOKA, MN 55303-2528
(218) 786-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 140757-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235319427
—
MN
05
—
1235319427
—
WI
Enumeration date
11/06/2007
Last updated
07/21/2022
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