Alisa Joy Gordon in Detroit - Licensed Practical Nurse
Alisa Joy Gordon - NPI 1386762185
Alisa Joy Gordon is a Licensed Practical Nurse in Detroit, Michigan. Alisa Joy Gordon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Alisa Joy Gordon is 1386762185. The last update date is 2007-07-09.
Alisa Joy Gordon's current location address is 8907 Rutland St, Detroit, Michigan. You can contact this provider via phone number 3139334284 and fax number 3138521631. The mailing address for Alisa Joy Gordon is 8907 Rutland St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Joy Gordon |
|---|---|
| Address | 8907 Rutland St, Detroit, Michigan |
| Phone Number | 3139334284 |
| Fax Number | 3138521631 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1386762185 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 8907 Rutland St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482282072 |
| Phone Number | 3139334284 |
| Fax Number | 3138521631 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 4703056485 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1740313238 | MI | CHRISTIAN GUIDANCE CENTER | |
| 3022440 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alisa Joy Gordon by the Centers for Medicare & Medicaid Services?
The Alisa Joy Gordon has been assigned the NPI (National Provider Identifier) 1386762185. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Alisa Joy Gordon's facilities are situated?
The facilities of Alisa Joy Gordon are physically located at the following address: 8907 Rutland St, Detroit, MI, 482282072.
What is Alisa Joy Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alisa Joy Gordon is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
When did Alisa Joy Gordon receive its 1386762185 assignment?
The Alisa Joy Gordon was assigned its 1386762185 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Alisa Joy Gordon most recently updated?
The details pertaining to the Alisa Joy Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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