| Doctor Name: | SHIRLEY GORDON |
| NPI Number: | 1073531349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN194973 |
| Business Practice Address: | 9975 Dwayne Ct Mentor, OH - 440607252 |
| Business Phone Number: | 4403541553 |
| Business Fax Number: | 4403541553 |
| Mailing Address: | 9975 Dwayne Ct, MENTOR |
| State: | OH |
| Postal Code: | 440607252 |
| Phone Number: | 4403541553 |
| Fax Number: | 4403541553 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | RN194973 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |