Provider Demographics
NPI:1033720560
Name:TOKORCHECK, CARA DANIELLE (AGNP)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:DANIELLE
Last Name:TOKORCHECK
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:MISS
Other - First Name:CARA
Other - Middle Name:DANIELLE
Other - Last Name:SKULSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGNP
Mailing Address - Street 1:5783 JOHNS WAY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-4487
Mailing Address - Country:US
Mailing Address - Phone:716-548-8005
Mailing Address - Fax:
Practice Address - Street 1:1851 SAINT MARY AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1053
Practice Address - Country:US
Practice Address - Phone:850-226-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11006967363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner