Stracey Gordon is a Family in Oakland, California. Stracey Gordon practices all healthcare services and medical treatments related to Family. The NPI Number for Stracey Gordon is 1710176730. The last update date is 2016-02-26.
Stracey Gordon's current location address is 2950 International Blvd, Oakland, California. You can contact this provider via phone number 5105354400. The mailing address for Stracey Gordon is 2950 International Blvd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stracey Gordon |
|---|---|
| Address | 2950 International Blvd, Oakland, California |
| Phone Number | 5105354400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1710176730 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2016-02-26 |
Provider Mailing Address Detail
| Address | 2950 International Blvd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946012228 |
| Phone Number | 5105354400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 18949 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18949 | CA | NP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stracey Gordon by the Centers for Medicare & Medicaid Services?
The Stracey Gordon has been assigned the NPI (National Provider Identifier) 1710176730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Stracey Gordon located?
The Stracey Gordon is located at 2950 International Blvd, Oakland, CA 946012228.
What is Stracey Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stracey Gordon's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When did the Stracey Gordon receive its 1710176730?
The Stracey Gordon was issued its 1710176730 on 2007-10-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Stracey Gordon most recently updated or revised?
The details related to Stracey Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-26.