Individual
CHANTEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 500, SOUDERTON, PA 18964-0500
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN767676
PA
Other
Enumeration date
12/06/2024
Last updated
06/05/2026
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