Individual
SHIMEAL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9530 COSNER DR STE 200, FREDERICKSBURG, VA 22408-7760
(540) 373-1331
Mailing address
9530 COSNER DR STE 200, FREDERICKSBURG, VA 22408-7760
(540) 373-1331
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0001289844
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024193790
VA
Other
Enumeration date
06/13/2024
Last updated
11/02/2025
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