Individual
SHAWN MARIE GORKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2486 NERREDIA ST STE E, FLINT, MI 48532-4807
(810) 230-9901
(810) 230-9916
Mailing address
2486 NERREDIA ST STE E, FLINT, MI 48532-4807
(810) 230-9901
(810) 230-9916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704206639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265801625
—
MI
Enumeration date
09/16/2015
Last updated
09/26/2023
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