Tisha C. Gordon, CRNA
NPI #1720310253 in American Fork, Utah
Provider Information
- NPI Number
- 1720310253
- Entity Type
- Individual
- Name
- Tisha C. Gordon, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Feb 9, 2010
- Last Updated
- Feb 9, 2010
Practice Location
- Address
- 170 N 1100 E
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2096
- Phone
- (801) 763-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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