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Individual

MRS. SARA NAN GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1212 7TH ST SE, CEDAR RAPIDS, IA 52401-2602
(319) 558-3844
(319) 364-2716
Mailing address
1212 7TH ST SE, CEDAR RAPIDS, IA 52401-2602
(319) 558-3844
(319) 364-2716

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
100940
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C100940
IA

Other

Enumeration date
04/23/2007
Last updated
10/29/2012
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