Individual
KIERSTEN MALEAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
(757) 683-5253
Mailing address
9821 RESEARCH DR APT 2103, CHARLOTTE, NC 28262-5664
(804) 687-4649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
360954
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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