Individual
GEORGIENNE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
30881 SANDY RIDGE DR, LEWES, DE 19958-5568
(302) 945-4716
Mailing address
30881 SANDY RIDGE DR, LEWES, DE 19958-5568
(302) 945-4716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0027134
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0027134
DELAWARE STATE NURSING LICENSE
DE
Enumeration date
12/21/2014
Last updated
12/21/2014
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