Individual
STEPHANIE AMBER GORSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1055 SW ORALABOR RD, ANKENY, IA 50023-1280
(833) 977-1280
Mailing address
720 E 1ST ST, GRIMES, IA 50111-1076
(515) 370-3664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A164950
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141098
IOWA BOARD OF NURSING REGISTERED NURSE LICENSE
IA
01
—
A164950
IOWA BOARD OF NURSING NURSE PRACTITIONER LICENSE
IA
Enumeration date
08/16/2021
Last updated
02/15/2023
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