Individual provider · Type 1 NPI

Geneve Shaun Gordon, LPN

Licensed Practical Nurse · Bronx, NY

NPI number 1114204054 Active

Practice location

3232 Wilson Ave
Bronx, NY 10469-2908

Call (718) 547-4275 Map

Mailing address

3232 Wilson Avenue
Bronx, NY 10469

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X307179 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114204054

Geneve Shaun Gordon, LPN's National Provider Identifier is 1114204054, issued on Nov 7, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Nov 7, 2011.