National Provider Identifier
Maureen Gordon
Maureen Gordon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penfield, NY and a listed phone number of (585) 750-9908.
Profile Overview
- NPI
- 1356704704
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 02, 2016
- Last Updated
- April 02, 2016
Practice Location
- 154 Willow Pond Way
- Penfield, NY 14526-2626
Phone: (585) 750-9908
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1356704704
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Maureen
- Mailing Street Address
- 154 Willow Pond Way
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2626
- Mailing Country
- US
- Mailing Phone
- (585) 750-9908
- Practice Street Address
- 154 Willow Pond Way
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2626
- Practice Country
- US
- Practice Phone
- (585) 750-9908
- Enumeration Date
- April 02, 2016
- Last Updated
- April 02, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)