Provider Demographics
NPI:1578841912
Name:GOROSKI, SARA G (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:G
Last Name:GOROSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:G
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 28TH ST S STE 6
Mailing Address - Street 2:BENEFIS HOSPITAL PEDIATRICS
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5296
Mailing Address - Country:US
Mailing Address - Phone:406-731-8865
Mailing Address - Fax:406-731-8874
Practice Address - Street 1:1300 28TH ST S STE 6
Practice Address - Street 2:BENEFIS HOSPITAL PEDIATRICS
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5296
Practice Address - Country:US
Practice Address - Phone:406-731-8865
Practice Address - Fax:406-731-8874
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT45214363LP0200X, 363LP0200X, 363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care