MS. Judi Marie Gordon RN, LADC

  • NPI 1679750608
According to our database, the NPI number for MS. Judi Marie Gordon RN, LADC is 1679750608 and activated since 16 years ago. MS. Judi Marie Gordon RN, LADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1911 Pleasant Ave. South, Minneapolis, MN 55403. You can also contact MS. Judi Marie Gordon RN, LADC via telephone number is (612) 874-9811. Provider NPI information was last updated on 01/22/2008.

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Overview of MS. Judi Marie Gordon RN, LADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/22/2008
  • Last updated: 01/22/2008

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 300170
  • License State: MN

Provider Mailing Address

  • Address: 1911 Pleasant Ave. South
    Create, Inc
    Minneapolis, MN 55403
  • Phone: 612-874-9811
  • Fax: 612-874-9820

Provider Practice Location

  • Address: 1911 Pleasant Ave. South
    Create, Inc
    Minneapolis, MN 55403
  • Phone: 612-874-9811
  • Fax: 612-874-9820

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 300170
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 300170
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: LADC

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Judi Marie Gordon RN, LADC?
  • A: The npi number for MS. Judi Marie Gordon RN, LADC is 1679750608.
  • Q: What are MS. Judi Marie Gordon RN, LADC's specialties?
  • A: MS. Judi Marie Gordon RN, LADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MS. Judi Marie Gordon RN, LADC?
  • A: The medical license number for MS. Judi Marie Gordon RN, LADC is 300170 and issued in MN in USA.
  • Q: Where is MS. Judi Marie Gordon RN, LADC practice location?
  • A: MS. Judi Marie Gordon RN, LADC is practicing at 1911 Pleasant Ave. South, Minneapolis, MN 55403.
  • Q: How to contact MS. Judi Marie Gordon RN, LADC?
  • A: You can contact MS. Judi Marie Gordon RN, LADC via 612-874-9811.
Medicare Specialty
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