RICKELL GORDON, NURSE PRACTITIONER

Nurse Practitioner - Family

Active Individual
NPI: 1093132052

Practice Address

528 AUGUSTINE ST
Rochester, NY 14613

Phone: (585) 733-0433

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 682852 (NY)
Nurse Practitioner - Family 363LF0000X Yes 345491 (NY)

Frequently Asked Questions

NPI 1093132052 is the National Provider Identifier for RICKELL GORDON, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Rochester, NY. This NPI was enumerated on March 27, 2014.
RICKELL GORDON, NURSE PRACTITIONER practices at 528 AUGUSTINE ST, Rochester, NY 14613.

Quick Facts

NPI
1093132052
Type
Individual
Enumerated
Mar 27, 2014
Last Updated
May 7, 2020

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