Individual
MS. LEANNE C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
844 KEMPSVILLE RD, SUITE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 261-0701
Mailing address
844 KEMPSVILLE RD, SUITE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 261-0701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024113432
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188729
ANTHEM MEDIGAP
VA
Enumeration date
08/12/2006
Last updated
02/05/2013
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