VICKI LEE GORDON RN NP NPI 1326035270

NPI Information

NPI: 1326035270
Provider Name: VICKI LEE GORDON, RN NP
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
16001 W 9 MILE RD
DEPT OF SURGERY
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 849-3000
Get Directions

Vicki Lee Gordon, RN NP is a medical-surgical registered nurse in Southfield, MI. Vicki Lee Gordon, RN NP NPI is 1326035270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16001 W 9 MILE RD
DEPT OF SURGERY
SOUTHFIELD, MI
ZIP 48075-818
Phone: (248) 849-3000

The enumeration date for this NPI number is 10/5/2005 and was last updated on 7/8/2007.

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	163WM0705X	Registered Nurse	Medical-Surgical	4704147901	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4704147901	OTHER	MICHIGAN	LICENSE

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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