Individual provider · Type 1 NPI

Phebe Gordon, NPC

Pediatric Nurse Practitioner · Detroit Lakes, MN

NPI number 1093264996 Active

About NPI 1093264996

Phebe Gordon, NPC's National Provider Identifier is 1093264996, issued on Oct 3, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit Lakes, MN. The record was last updated on Dec 21, 2016.