Individual provider · Type 1 NPI

Oavah Gordon

Licensed Practical Nurse · Poughkeepsie, NY

NPI number 1578426110 Active

Practice location

34 Fountain Pl
Poughkeepsie, NY 12603-2727

Call (845) 453-7136 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X325127 (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 1578426110

Oavah Gordon's National Provider Identifier is 1578426110, issued on Dec 9, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Dec 9, 2025.