Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL THOMAS GORACKE, CNP
ActiveSAMUEL THOMAS GORACKE, CNP is a Nurse Practitioner healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1144905159 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1144905159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2023 (3.1909879731015 yrs)
- Last Updated
- Sep 27, 2023
- Licenses
-
00000000 (MN)10717 (MN)
Practice Information
- Address
-
6500 EXCELSIOR BLVDST LOUIS PARK, MN, 554264702Browse MN providers · Browse ZIP 55426
- Phone
- 3204240570
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| JILL M SAMAYOA | CNP | 1538144944 |
| MS. SHEY J LARSON | C.N.P. | 1982689881 |
| JULIE A RICE | NP | 1437135043 |
| TARA L SCHLATTMAN | — | 1609853415 |
| ELINOR STROCK | — | 1144207119 |
| KAREN PANKRATZ | — | 1235116237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.