Individual provider · Type 1 NPI

Bosha A. Gordon, APRN

Family Nurse Practitioner · Albuquerque, NM

NPI number 1114055365 Active

Practice location

1001 Medical Arts Ave NE # Unm
Albuquerque, NM 87102-2708

Call (505) 272-5132 Map

Mailing address

2829 Indiana St NE
Albuquerque, NM 87110-3427

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP00393 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1114055365

Bosha A. Gordon, APRN's National Provider Identifier is 1114055365, issued on Mar 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on May 22, 2011.