TAMMY GORDON, RN

Registered Nurse

Active Individual
NPI: 1770721102

Practice Address

1604 VISA DR STE 1
Normal, IL 61761

Phone: (309) 847-4716

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 041326108 (IL)

Frequently Asked Questions

NPI 1770721102 is the National Provider Identifier for TAMMY GORDON, RN, a Registered Nurse provider located in Normal, IL. This NPI was enumerated on January 22, 2009.
TAMMY GORDON, RN practices at 1604 VISA DR STE 1, Normal, IL 61761.

Quick Facts

NPI
1770721102
Type
Individual
Enumerated
Jan 22, 2009
Last Updated
Jan 22, 2009

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