GORDON EDEN NPI 1891216339

NPI Information

  • NPI: 1891216339
  • Provider Name: GORDON EDEN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 305 N 5TH ST
    ROSCOMMON, MI
    ZIP 48653
  • Phone: (989) 275-8000

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NPI Details

Gordon Eden is a licensed practical nurse in Roscommon, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Gordon Eden NPI is 1891216339. 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:

305 N 5TH ST
ROSCOMMON, MI
ZIP 48653-508
Phone: (989) 275-8000

The enumeration date for this NPI number is 7/6/2017 and was last updated on 7/6/2017.

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
1164W00000XLicensed Practical Nurse4703097029MICHIGANYes

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: 3/30/2025

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