Individual
NADINE ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 343-1290
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN9271086
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101923200
—
FL
Enumeration date
09/20/2006
Last updated
02/16/2022
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