Individual provider · Type 1 NPI
Miranda Gordon, FNP
Nurse Practitioner · Malone, NY
Practice location
134 Park St
Malone, NY 12953-1259
Mailing address
2039 State Route 3
Cadyville, NY 12918-2807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 770817 (NY) |
| Nurse Practitioner Primary | 363L00000X | 357152 (NY) |
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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- Wilhelmina Marie Sheridan, FNPFamily Nurse Practitioner Malone, NY NPI 1841367000
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About NPI 1689560765
Miranda Gordon, FNP's National Provider Identifier is 1689560765, issued on Jun 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Malone, NY. The record was last updated on Aug 18, 2025.