Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW GORSUCH
ActiveChild & Adolescent Psychiatric Nurse · BARABOO, WI
Registration Details
- NPI Number
- 1245496066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2008 (17.758451233386 yrs)
- Last Updated
- Jul 31, 2008
- License
-
120816-030 (WI)
Practice Information
- Address
-
505 BROADWAY STBARABOO, WI, 539132183Browse WI providers · Browse ZIP 53913
- Phone
- 6053554200
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in BARABOO, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. TARA ELLEN KOCH | RN | 1659600468 |
| DAWN THOMPSON | R.N. | 1124560263 |
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.