Individual
AMANDA C GORECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 269-5000
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14-86790-082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395070A
—
KS
05
—
100395070B
—
KS
01
—
160635
BCBS
KS
01
—
161418
BCBS
KS
Enumeration date
06/29/2006
Last updated
09/15/2009
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