Individual
PAIGE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1962 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-5021
Mailing address
1962 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-5021
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-159500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700422888
—
AL
Enumeration date
11/22/2019
Last updated
11/16/2021
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