Individual
PHEBE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4837
MN
Other
Enumeration date
10/03/2016
Last updated
12/21/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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