National Provider Identifier

Andrea Marie Gordon, LPN

Andrea Marie Gordon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 754-6064.

NPI 1386192516Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1386192516
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 16, 2016
Last Updated
September 16, 2016

Practice Location

  • 49 Ranch Village Ln
  • Rochester, NY 14624-2856

Phone: (585) 754-6064

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1386192516
Entity Type
Individual
Last Name
Gordon
First Name
Andrea
Middle Name
Marie
Name Prefix
Miss
Credential
LPN
Mailing Street Address
49 Ranch Village Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2856
Mailing Country
US
Mailing Phone
(585) 754-6064
Practice Street Address
49 Ranch Village Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-2856
Practice Country
US
Practice Phone
(585) 754-6064
Enumeration Date
September 16, 2016
Last Updated
September 16, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)