Individual provider · Type 1 NPI
Tiffany Dawn Gordon, NP
Family Nurse Practitioner · Le Sueur, MN
NPI number
1992424675
Active
Practice location
625 S 4th St Ste A
Le Sueur, MN 56058-2203
Mailing address
258 Arabian Ave E
Shakopee, MN 55379-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9339 (MN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1992424675
Tiffany Dawn Gordon, NP's National Provider Identifier is 1992424675, issued on Aug 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Le Sueur, MN. The record was last updated on Aug 25, 2022.