Provider Demographics
NPI:1033209440
Name:GORSKE, MARGOT ELIZABETH (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:MARGOT
Middle Name:ELIZABETH
Last Name:GORSKE
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1715 N. GEORGE MASON DRIVE
Mailing Address - Street 2:402
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205
Mailing Address - Country:US
Mailing Address - Phone:703-248-0006
Mailing Address - Fax:703-558-5223
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:402
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-248-0006
Practice Address - Fax:703-248-0007
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1033209440Medicaid
VAP00882880Medicare PIN
VA1033209440Medicaid