MS. Ella Mae Gordon, N.P.

NPI #1194093344 in Boise, Idaho

Provider Information

NPI Number
1194093344
Entity Type
Individual
Name
MS. Ella Mae Gordon, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
N.P.
Enumeration Date
Dec 2, 2011
Last Updated
Dec 2, 2011

Practice Location

Address
450 WEST STATE STREET
Address 2
4TH FLOOR
City
Boise
State
Idaho
ZIP Code
83720-0036
Phone
(208) 334-5616

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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