Individual
DAWNELLE MARIE-VARGAS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, ARNP, APNP
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005943
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209005943
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7345-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G-113375
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11851721
CAQH
IA
Enumeration date
04/11/2006
Last updated
04/05/2022
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