NPI 1063817120

Elizabeth Gordon, FNP

Practitioner Family Nurse Practitioner Saint Peters, MO

Practice location

Address: 4800 Mexico Rd Suite 102, Saint Peters, MO 63376-1666
Phone: (636) 441-0067
Fax: (636) 441-1062
Mailing address: PO Box 23340, Saint Louis, MO 63156-3340

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2014023979 (MO)

Other Nurse Practitioner providers in Missouri →

Registry record

NPI: 1063817120
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2014
Record last updated: 30 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.