National Provider Identifier
Rickell Gordon, NURSE PRACTITIONER
Rickell Gordon, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 733-0433.
Profile Overview
- NPI
- 1093132052
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 27, 2014
- Last Updated
- May 07, 2020
Practice Location
- 528 Augustine St
- Rochester, NY 14613-1335
Phone: (585) 733-0433
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1093132052
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Rickell
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 528 Augustine St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1335
- Mailing Country
- US
- Mailing Phone
- (585) 733-0433
- Practice Street Address
- 528 Augustine St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1335
- Practice Country
- US
- Practice Phone
- (585) 733-0433
- Enumeration Date
- March 27, 2014
- Last Updated
- May 07, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 07, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)