Individual provider · Type 1 NPI
Sue Marie Gordon, RN
Medical-Surgical Registered Nurse · Phoenix, AZ
NPI number
1750631040
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 200-5383
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | RN173742 (AZ) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1750631040
Sue Marie Gordon, RN's National Provider Identifier is 1750631040, issued on Sep 13, 2012. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 13, 2012.