Individual
MRS. DIANA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3212 HAMPTON HWY, SUITE B, YORKTOWN, VA 23693-4948
(757) 867-6160
Mailing address
3212 HAMPTON HWY, SUITE B, YORKTOWN, VA 23693-4948
(757) 867-6160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170894
VA
Other
Enumeration date
09/13/2013
Last updated
02/16/2016
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