MRS. ELLEN GORDON, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1417924572
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN095501 (OH) |
Frequently Asked Questions
NPI 1417924572 is the National Provider Identifier for MRS. ELLEN GORDON, LPN, a Licensed Practical Nurse provider located in Riverside, OH. This NPI was enumerated on March 7, 2006.
MRS. ELLEN GORDON, LPN practices at 1523 WAKE AVE, Riverside, OH 45431.
Quick Facts
- NPI
- 1417924572
- Type
- Individual
- Enumerated
- Mar 7, 2006
- Last Updated
- Jul 8, 2007
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