Individual
SHIRLEY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9975 DWAYNE CT, MENTOR, OH 44060-7252
(440) 354-1553
(440) 354-1553
Mailing address
9975 DWAYNE CT, MENTOR, OH 44060-7252
(440) 354-1553
(440) 354-1553
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN194973
OH
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
RN 194973
OH
163WE0003X
Emergency Registered Nurse
RN194973
OH
163WG0000X
General Practice Registered Nurse
RN 194973
OH
163WH0200X
Home Health Registered Nurse
RN194973
OH
163WI0500X
Infusion Therapy Registered Nurse
RN194973
OH
163WM0705X
Medical-Surgical Registered Nurse
RN 194973
OH
163WP0200X
Pediatric Registered Nurse
RN194973
OH
163WS0200X
School Registered Nurse
RN194973
OH
163WW0000X
Wound Care Registered Nurse
RN 194973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171582
—
OH
Enumeration date
07/17/2006
Last updated
09/11/2025
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