Individual provider · Type 1 NPI
Samantha Shyanne Gordon, CNA
Home Health Aide · Wausau, WI
NPI number
1003539792
Active
Practice location
227235 Teal Ave
Wausau, WI 54401-2557
Mailing address
16192 Coastal Hwy
Lewes, DE 19958-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide Primary | 374U00000X | None listed |
Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
About NPI 1003539792
Samantha Shyanne Gordon, CNA's National Provider Identifier is 1003539792, issued on Sep 19, 2022. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Wausau, WI. The record was last updated on Sep 19, 2022.