Organization
PAULA S. GORDY LISW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SUE GORDY LISW (OWNER)
(641) 856-2688
Entity
Organization
Contact information
Practice address
501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
(641) 856-2688
(641) 856-2690
Mailing address
501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
(641) 856-2688
(641) 856-2690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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