Individual provider · Type 1 NPI

Shaneice Gordon

Registered Nurse · Spring Valley, NY

NPI number 1720976210 Active

Practice location

42 N Main St
Spring Valley, NY 10977-4906

Mailing address

1032 E 228th St
Bronx, NY 10466-4820

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X990088 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1720976210

Shaneice Gordon's National Provider Identifier is 1720976210, issued on Jun 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Spring Valley, NY. The record was last updated on Jun 25, 2025.