Individual
ANGELA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4405 E 26TH ST, SIOUX FALLS, SD 57103-4187
(605) 332-2883
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
CP003325
SD
363LF0000X
Family Nurse Practitioner
Primary
CP003325
SD
Other
Enumeration date
08/08/2024
Last updated
10/29/2024
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