Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA SHYANNE GORDON, CNA
ActiveSAMANTHA SHYANNE GORDON, CNA is a Home Health Aide healthcare provider located in WAUSAU, Wisconsin. NPI 1003539792 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · WAUSAU, WI
Registration Details
- NPI Number
- 1003539792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2022 (3.8602463174336 yrs)
- Last Updated
- Sep 19, 2022
Practice Information
- Address
-
227235 TEAL AVEWAUSAU, WI, 544012557Browse WI providers · Browse ZIP 54401
- Phone
- 6308269753
- Primary Specialty
-
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.