Individual provider · Type 1 NPI

Dorett Beverly Gordon

Licensed Practical Nurse · Bronx, NY

NPI number 1457598484 Active

Practice location

50 W Gun Hill Rd, Apt 4G
Bronx, NY 10467-1016

Call (561) 568-8687 Map

Mailing address

PO Box 1011
Bronx, NY 10467-0726

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	294307-1 (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 1457598484

Dorett Beverly Gordon's National Provider Identifier is 1457598484, issued on Jan 13, 2009. 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 29, 2010.