Organization
ABUNDANT HEALTH FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL E GORDON FNPC (CO OWNER)
(520) 326-1457
Entity
Organization
Contact information
Practice address
2055 W HOSPITAL DR, SUITE 295, TUCSON, AZ 85704-7892
(520) 326-1457
(520) 326-1464
Mailing address
2055 W HOSPITAL DR, SUITE 295, TUCSON, AZ 85704-7892
(520) 326-1457
(520) 326-1464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431655
—
AZ
05
—
526013
—
AZ
05
—
881707
—
AZ
Enumeration date
05/26/2009
Last updated
08/23/2013
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