NPI 1639263064 · live from the CMS NPI Registry
Donna Gordon, ANP / FNP
Nurse Practitioner, Adult Health in Portland, ME. National Provider Identifier 1639263064, active.
NPI record
| NPI | 1639263064 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 887 Congress St, Portland, ME 04102 |
| Practice phone | 207-774-2381 |
| Mailing address | 39 Wallace Ave, So. Portland, ME 04106 |
| Enumerated | October 2, 2006 |
| Last updated | May 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | RN32466 (ME) |
| Nurse Practitioner, Adult Health primary | 363LA2200X | R032466 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.