Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELLEN M GORDON, LPN
ActiveMRS. ELLEN M GORDON, LPN is a Licensed Practical Nurse healthcare provider located in RIVERSIDE, Ohio. NPI 1417924572 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · RIVERSIDE, OH
Registration Details
- NPI Number
- 1417924572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2006 (20.451738230007 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PN095501 (OH)
Practice Information
- Address
-
1523 WAKE AVERIVERSIDE, OH, 454311235Browse OH providers · Browse ZIP 45431
- Phone
- 9376239143
- Fax
- 9372535419
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.