NPI 1336818269

Faith Marie Gordon, RNADN

Practitioner Diabetes Educator Registered Nurse Roosevelt, UT

Practice location

Address: 250 W 300 N, Roosevelt, UT 84066-2336
Phone: (435) 722-6130

Registered specialties

Diabetes Educator Registered Nurse Primary

Nursing Service Providers Taxonomy 163WD0400X Licence 10392868-3102 (UT)

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Registry record

NPI: 1336818269
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2021
Record last updated: 13 Sep 2021

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.