Individual
TERESA ANN GORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-6569
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-6569
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R28241
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11281976
—
ND
Enumeration date
09/12/2016
Last updated
05/11/2026
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