Judy Rae Gordon in Plummer - Registered Nurse
Judy Rae Gordon - NPI 1588645444
Judy Rae Gordon is a Registered Nurse in Plummer, Idaho. Judy Rae Gordon practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Judy Rae Gordon is 1588645444. The last update date is 2007-07-08.
Judy Rae Gordon's current location address is 1100 A St, Plummer, Idaho. You can contact this provider via phone number 2086861767. The mailing address for Judy Rae Gordon is 1100 A St, Plummer, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Rae Gordon |
|---|---|
| Address | 1100 A St, Plummer, Idaho |
| Phone Number | 2086861767 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1588645444 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 A St |
|---|---|
| City | Plummer |
| State | Idaho (ID) |
| Post Code | 83851 |
| Phone Number | 2086861767 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | N22901 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the Judy Rae Gordon's 1588645444?
The Judy Rae Gordon's NPI (National Provider Identifier) Number is 1588645444. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Judy Rae Gordon's facilities are geographically located?
The facilities of Judy Rae Gordon are physically situated at the following location: 1100 A St, Plummer, ID, 83851.
What is Judy Rae Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judy Rae Gordon's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date did the Judy Rae Gordon receive the assignment of its 1588645444 from the Centers for Medicare & Medicaid Services?
The Judy Rae Gordon was issued its 1588645444 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date was the information pertaining to Judy Rae Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Judy Rae Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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