Individual provider · Type 1 NPI
Debbie Gordon, ANP-C
Adult Health Nurse Practitioner · La Jolla, CA
NPI number
1730315532
Active
Practice location
9300 Campus Point Dr, Suite Ecob 2-034
La Jolla, CA 92037-1300
Fax (858) 657-7107
Mailing address
PO Box 232410, Suite Ecob 2-034
San Diego, CA 92193-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 0024166102 (VA) |
| Nurse Practitioner | 363L00000X | 0017138075 (VA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 13438 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1730315532
Debbie Gordon, ANP-C's National Provider Identifier is 1730315532, issued on Jun 8, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Jolla, CA. The record was last updated on Sep 9, 2016.