MS. Peta-gaye Tisha Gordon

  • NPI 1053645341
According to our database, the NPI number for MS. Peta-gaye Tisha Gordon is 1053645341 and activated since 14 years ago. MS. Peta-gaye Tisha Gordon is an individual provider who specializes in Licensed Practical Nurse, and the primary practice location is 127 Maple Ln, Medford, NY 11763. You can also contact MS. Peta-gaye Tisha Gordon via telephone number is (631) 576-5833. Provider NPI information was last updated on 09/20/2009.

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Overview of MS. Peta-gaye Tisha Gordon

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/20/2009
  • Last updated: 09/20/2009

Primary Scrop of Practice

  • Taxonomy Code: 164W00000X
  • Specialty: Licensed Practical Nurse
  • License Number: 279643-1
  • License State: NY

Provider Mailing Address

  • Address: 127 Maple Ln
    Medford, NY 11763
  • Phone: 631-576-5833
  • Fax:

Provider Practice Location

  • Address: 127 Maple Ln
    Medford, NY 11763
  • Phone: 631-576-5833
  • Fax:

Scope of Practice

  • Taxonomy Code: 164W00000X
  • Specialty: Licensed Practical Nurse
  • License Number: 279643-1
  • License State: NY
  • Switch: Yes

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. Peta-gaye Tisha Gordon?
  • A: The npi number for MS. Peta-gaye Tisha Gordon is 1053645341.
  • Q: What are MS. Peta-gaye Tisha Gordon's specialties?
  • A: MS. Peta-gaye Tisha Gordon's specialties are Licensed Practical Nurse and different specialities.
  • Q: What is the medical license for MS. Peta-gaye Tisha Gordon?
  • A: The medical license number for MS. Peta-gaye Tisha Gordon is 279643-1 and issued in NY in USA.
  • Q: Where is MS. Peta-gaye Tisha Gordon practice location?
  • A: MS. Peta-gaye Tisha Gordon is practicing at 127 Maple Ln, Medford, NY 11763.
  • Q: How to contact MS. Peta-gaye Tisha Gordon?
  • A: You can contact MS. Peta-gaye Tisha Gordon via 631-576-5833.