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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY M GORDON

Active Sole Proprietor

Nurse's Aide · SYRACUSE, IN

Registration Details

NPI Number
1093043242
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2009 (16.392069634769 yrs)
Last Updated
Nov 30, 2009
License
0500869 (IN)
Sole Proprietor
Yes

Practice Information

Address
4665 E SUNSET DR
SYRACUSE, IN, 465679168
Browse IN providers · Browse ZIP 46567
Phone
8666278233
Fax
8777107891
Primary Specialty
Nurse's Aide
376K00000X

Other Nurse's Aide Providers in SYRACUSE, IN

Name Credential NPI
OLIVIA COOK 1821324898
LAWANDA LORRAINE STOUDIMIRE 1386948933
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.