Individual provider · Type 1 NPI
Diana W. Gordon, RN, CPNP
Pediatric Nurse Practitioner · Chapel Hill, NC
NPI number
1336455062
Active
Practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5004861 (NC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 94029 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336455062
Diana W. Gordon, RN, CPNP's National Provider Identifier is 1336455062, issued on Aug 18, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chapel Hill, NC. The record was last updated on Sep 3, 2025.