NPI 1093043242

Tiffany M Gordon

Practitioner Nurse's Aide Syracuse, IN

Practice location

Address: 4665 E Sunset Dr, Syracuse, IN 46567-9168
Phone: (866) 627-8233
Fax: (877) 710-7891
Mailing address: 813 N Main St, Avilla, IN 46710-9658

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 0500869 (IN)

Other Nurse's Aide providers in Indiana →

Registry record

NPI: 1093043242
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2009
Record last updated: 30 Nov 2009

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.