Individual provider · Type 1 NPI

Casey Gordon

Emergency Registered Nurse · Gallup, NM

NPI number 1972092260 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

3652 Davie Blvd
Fort Lauderdale, FL 33312-3440

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X9210217 (FL)

Emergency Registered Nurse: Definition to come...

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About NPI 1972092260

Casey Gordon's National Provider Identifier is 1972092260, issued on May 2, 2018. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on May 2, 2018.