Individual
MARY NICOLE GORECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704319268
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704319268
MI
Other
Enumeration date
04/19/2021
Last updated
06/14/2023
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