Organization · Type 2 NPI
Gordon Health Clinic LLC
Primary Care Nurse Practitioner · Waldorf, MD
NPI number
1700700408
Active
Practice location
10586 Sourwood Ave
Waldorf, MD 20603-5711
Fax (301) 517-9318
Mailing address
8507 Oxon Hill Rd Ste 200
Fort Washington, MD 20744-4774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1700700408
Gordon Health Clinic LLC's National Provider Identifier is 1700700408, issued on Aug 5, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Waldorf, MD. The record was last updated on Oct 22, 2026.