Provider Demographics
NPI:1649005802
Name:GORCES, EMILY ANNA (BSN, RN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNA
Last Name:GORCES
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANNA
Other - Last Name:SAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:455 LONGFIELD ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53536-1238
Mailing Address - Country:US
Mailing Address - Phone:608-692-0353
Mailing Address - Fax:
Practice Address - Street 1:455 LONGFIELD ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53536-1238
Practice Address - Country:US
Practice Address - Phone:608-692-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1116180-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse