Individual
LEANNA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
143 COTTAGE AVE, BUTLER, PA 16001-2057
(907) 903-9554
Mailing address
143 COTTAGE AVE, BUTLER, PA 16001-2057
(907) 903-9554
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN590642
PA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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