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MS. CYNTHIA GORDON NICKERSON RN CDE CMC NPI 1891350005


NPI Information

NPI: 1891350005
Provider Name: MS. CYNTHIA GORDON NICKERSON, RN CDE CMC
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
BARTLETT REGIONAL HOSPITAL
3260 HOSPITAL DRIVE
DOUGLAS, AK
ZIP 99801
Phone: (907) 796-8649
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MS. Cynthia Gordon Nickerson, RN CDE CMC is a diabetes educator registered nurse in Douglas, AK. MS. Cynthia Gordon Nickerson, RN CDE CMC NPI is 1891350005. 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:

BARTLETT REGIONAL HOSPITAL
3260 HOSPITAL DRIVE
DOUGLAS, AK
ZIP 99801
Phone: (907) 796-8649
Fax: (907) 796-8574

The enumeration date for this NPI number is 5/2/2019 and was last updated on 5/2/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WD0400XRegistered NurseDiabetes EducatorNURR19700ALASKAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.