Provider Demographics
NPI:1144595828
Name:GORIS, MARGARET (FNP-BC, MSN(R))
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:GORIS
Suffix:
Gender:F
Credentials:FNP-BC, MSN(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 HERITAGE CENTER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9855
Mailing Address - Country:US
Mailing Address - Phone:919-529-5920
Mailing Address - Fax:919-529-5933
Practice Address - Street 1:1748 HERITAGE CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9855
Practice Address - Country:US
Practice Address - Phone:919-529-5920
Practice Address - Fax:919-529-5933
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23465363LF0000X
NC5020414363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily