Individual provider · Type 1 NPI

Carrie Kallenbach Gordon, NP

Family Nurse Practitioner · Redwood City, CA

NPI number 1134498926 Active

Practice location

300 Bradford Street, Maguire Correctional Facility
Redwood City, CA 94063

Call (650) 363-4241 Map

Mailing address

300 Bradford Avenue, Maguire Correctional Facility
Redwood City, CA 94063

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X12246 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1134498926

Carrie Kallenbach Gordon, NP's National Provider Identifier is 1134498926, issued on Dec 22, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redwood City, CA. The record was last updated on Sep 12, 2013.