Individual provider · Type 1 NPI

Andrea Alexis Gordon, APNP

Nurse Practitioner · Kenosha, WI

NPI number 1306377023 Active

Practice location

6308 8th Avenue, Ste 202
Kenosha, WI 53143

Fax (262) 653-5346

Mailing address

6308 8th Avenue, Ste 202
Kenosha, WI 53143-5031

Other practice locations

  • 9555 76th Street, Pleasant Prairie, WI 53158-1984 · (262) 653-5330

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X178314-030 (WI)
Nurse Practitioner Primary 363L00000X8432-33 (WI)

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…

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About NPI 1306377023

Andrea Alexis Gordon, APNP's National Provider Identifier is 1306377023, issued on Mar 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 4, 2018.