Individual provider · Type 1 NPI

Taylor Victoria Gordon

Nurse Practitioner · North Bellmore, NY

NPI number 1104516202 Active

Practice location

2675 Doris Ave
North Bellmore, NY 11710-2070

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X772330 (NY)
Nurse Practitioner Primary 363L00000XF406220-01 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1104516202

Taylor Victoria Gordon's National Provider Identifier is 1104516202, issued on May 11, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Bellmore, NY. The record was last updated on Nov 30, 2024.