Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON EDEN
ActiveGORDON EDEN is a Licensed Practical Nurse healthcare provider located in ROSCOMMON, Michigan. NPI 1891216339 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · ROSCOMMON, MI
Registration Details
- NPI Number
- 1891216339
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2017 (9.1085920039965 yrs)
- Last Updated
- Jul 6, 2017
- License
-
4703097029 (MI)
Practice Information
- Address
-
305 N 5TH STROSCOMMON, MI, 486532508Browse MI providers · Browse ZIP 48653
- Phone
- 9892758000
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in ROSCOMMON, MI
| Name | Credential | NPI |
|---|---|---|
| PAMELA LYNNE DISNEY | — | 1750774311 |
| TARA MALLORY | — | 1982563433 |
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.