Individual
DIANA L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., R.N., L.P.C.
Contact information
Practice address
7920 CONSER ST, OVERLAND PARK, KS 66204-3460
(913) 221-0750
(913) 221-0751
Mailing address
7920 CONSER ST, OVERLAND PARK, KS 66204-3460
(913) 221-0750
(913) 221-0751
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
06917
MO
363L00000X
Nurse Practitioner
Primary
53-75415-021
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C5002565
MO
Other
Enumeration date
06/09/2005
Last updated
05/31/2024
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