Individual provider · Type 1 NPI
Peta-Gaye Tisha Gordon
Registered Nurse · Medford, NY
Practice location
127 Maple Ln
Medford, NY 11763-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 279643-1 (NY) |
| Registered Nurse Primary | 163W00000X | 629991 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
2 other providers at this address
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About NPI 1053645341
Peta-Gaye Tisha Gordon's National Provider Identifier is 1053645341, issued on Sep 20, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Medford, NY. The record was last updated on Apr 15, 2024.