Gayle Ruth Gordon in Daytona Beach - Licensed Practical Nurse
Gayle Ruth Gordon - NPI 1366442071
Gayle Ruth Gordon is a Licensed Practical Nurse in Daytona Beach, Florida. Gayle Ruth Gordon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Gayle Ruth Gordon is 1366442071. The last update date is 2007-07-08.
Gayle Ruth Gordon's current location address is 1220 Willis Ave, Daytona Beach, Florida. You can contact this provider via phone number 3862363200 and fax number 3862570328. The mailing address for Gayle Ruth Gordon is 1220 Willis Ave, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayle Ruth Gordon |
|---|---|
| Address | 1220 Willis Ave, Daytona Beach, Florida |
| Phone Number | 3862363200 |
| Fax Number | 3862570328 |
| Sole Proprietor | X |
| Credentials | LICENSED P |
NPI Number Detail
| NPI Number | 1366442071 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1220 Willis Ave |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321142810 |
| Phone Number | 3862363200 |
| Fax Number | 3862570328 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN1098961 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gayle Ruth Gordon by the Centers for Medicare & Medicaid Services?
The Gayle Ruth Gordon has been issued the NPI (National Provider Identifier) 1366442071, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gayle Ruth Gordon is geographically located?
The Gayle Ruth Gordon is physically situated at the following location: 1220 Willis Ave, Daytona Beach, FL, 321142810.
What is the Gayle Ruth Gordon's specialty and taxonomy code?
The Gayle Ruth Gordon's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Gayle Ruth Gordon receive the assignment of its 1366442071 from the Centers for Medicare & Medicaid Services?
The Gayle Ruth Gordon was issued its 1366442071 by the Centers for Medicare & Medicaid Services on 2005-07-22.
When was the information regarding Gayle Ruth Gordon most recently updated?
The details pertaining to the Gayle Ruth Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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