SearchMinnesota101YA0400X

Judi Gordon, RN, LADC

NPI 1679750608 · on the registry since 2008

Practice

Address
1911 Pleasant Ave. South
Create, Inc
Minneapolis, MN 55403
Phone
(612) 874-9811
Fax
(612) 874-9820
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
163W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota