Individual provider · Type 1 NPI

Donna Gordon, ANP / FNP

Adult Health Nurse Practitioner · Portland, ME

NPI number 1639263064 Active

Practice location

887 Congress St
Portland, ME 04102

Mailing address

39 Wallace Ave
South Portland, ME 04106

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse First Assistant 163WR0006XRN32466 (ME)
Adult Health Nurse Practitioner Primary 363LA2200XR032466 (ME)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1639263064

Donna Gordon, ANP / FNP's National Provider Identifier is 1639263064, issued on Oct 2, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, ME. The record was last updated on May 2, 2024.