Individual provider · Type 1 NPI

Tisha C. Gordon, CRNA

Certified Registered Nurse Anesthetist · American Fork, UT

NPI number 1720310253 Active

Practice location

170 N 1100 E
American Fork, UT 84003-2096

Fax (801) 432-2668

Mailing address

10150 Centennial Pkwy, Suite 230
Sandy, UT 84070-4103

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X354490-4406 (UT)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1720310253

Tisha C. Gordon, CRNA's National Provider Identifier is 1720310253, issued on Feb 9, 2010. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in American Fork, UT. The record was last updated on Feb 9, 2010.