Doctor Name: | DEBORAH GORDON |
NPI Number: | 1093064727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN235173 |
Business Practice Address: | 8819 Commons Blvd Suite 101 Twinsburg, OH - 440874101 |
Business Phone Number: | 3306569304 |
Business Fax Number: | 3306565901 |
Mailing Address: | 5700 Darrow Rd, Suite 106 HUDSON |
State: | OH |
Postal Code: | 442365026 |
Phone Number: | 3306569304 |
Fax Number: | 3306565901 |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | RN235173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |