Provider Demographics
NPI:1710234232
Name:GOREL, KRISTINE NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:NICOLE
Last Name:GOREL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 STONEGATE VLG
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2341
Mailing Address - Country:US
Mailing Address - Phone:215-939-3158
Mailing Address - Fax:
Practice Address - Street 1:63 STONEGATE VLG
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2341
Practice Address - Country:US
Practice Address - Phone:215-939-3158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN561650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse