Doctor Name: | DEANNA L GORTON |
NPI Number: | 1386945046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 369594 |
Business Practice Address: | 1968 Greenville Tpke Port Jervis, NY - 127713248 |
Business Phone Number: | 8546729322 |
Business Fax Number: | |
Mailing Address: | 1968 Greenville Tpke, PORT JERVIS |
State: | NY |
Postal Code: | 127713248 |
Phone Number: | 8456729322 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 369594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |