Madonna K Gordon is a Pediatrics in Lebanon, New Hampshire. Madonna K Gordon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Madonna K Gordon is 1790907319. The last update date is 2017-05-19.
Madonna K Gordon's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036505000. The mailing address for Madonna K Gordon is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madonna K Gordon |
|---|---|
| Address | 1 Medical Center Dr, Lebanon, New Hampshire |
| Phone Number | 6036505000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1790907319 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2017-05-19 |
Provider Mailing Address Detail
| Address | 1 Medical Center Dr |
|---|---|
| City | Lebanon |
| State | New Hampshire (NH) |
| Post Code | 37561000 |
| Phone Number | 6036505000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 061091-23 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9649831 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Madonna K Gordon by the Centers for Medicare & Medicaid Services?
The Madonna K Gordon has been assigned the NPI (National Provider Identifier) 1790907319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Madonna K Gordon is physically located?
The Madonna K Gordon is physically situated at the following address: 1 Medical Center Dr, Lebanon, NH, 37561000.
What is the area of specialization for Madonna K Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Madonna K Gordon is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
When was the Madonna K Gordon's 1790907319 issued?
The Madonna K Gordon's 1790907319 was issued on 2007-05-03.
As of what date were the Madonna K Gordon's details last updated?
The information pertaining to the Madonna K Gordon, including its address, specialty, and other details, was most recently updated on 2017-05-19.
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