WILLIAM LEE GORDON RN NPI 1275780009

NPI Information

NPI: 1275780009
Provider Name: WILLIAM LEE GORDON, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2435 N CASTRO AVE
TUCSON, AZ
ZIP 85705
Phone: (520) 622-8030
Get Directions

William Lee Gordon, RN is a psychiatric/mental health nurse practitioner in Tucson, AZ with 16 years of experience. William Lee Gordon, RN NPI is 1275780009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2435 N CASTRO AVE
TUCSON, AZ
ZIP 85705-060
Phone: (520) 622-8030
Fax: (520) 622-9159

The NPI 1275780009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2008 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP3107	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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