Individual
AMY L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1532 ABBE RD S, ELYRIA, OH 44035-7349
(440) 376-1930
Mailing address
1532 ABBE RD S, ELYRIA, OH 44035-7349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025536
OH
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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