Individual
MRS. MICHELLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2213 COUNTRYWOOD DR SE, KENTWOOD, MI 49508-5067
(616) 204-0562
Mailing address
2213 COUNTRYWOOD DR SE, KENTWOOD, MI 49508-5067
(616) 204-0562
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704298274
MI
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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