NPI 1902800600 · live from the CMS NPI Registry
Diana L Gordon, N.P., R.N., L.P.C.
Nurse Practitioner in Overland Park, KS. National Provider Identifier 1902800600, active.
NPI record
| NPI | 1902800600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 7920 Conser St, Overland Park, KS 66204 |
| Practice phone | 913-221-0750 |
| Enumerated | June 9, 2005 |
| Last updated | May 31, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 06917 (MO) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | C5002565 (MO) |
| Nurse Practitioner primary | 363L00000X | 53-75415-021 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.