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Samantha Shyanne Gordon, CNA
Home Health Aide in Wausau, Wisconsin
NPI 1003539792

Samantha Shyanne Gordon is a Home Health Aide based in Lewes, WI. Samantha Shyanne Gordon practices in Wausau, WI and has the professional credentials of CNA. The NPI Number for Samantha Shyanne Gordon is 1003539792 and holds a License No. (Wisconsin).

The current practice location address for Samantha Shyanne Gordon is 227235 Teal Ave, Wausau, WI and can be reached out via phone at 630-826-9753.

Location: 227235 Teal Ave, Wausau, WI, 19958-3608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003539792
Provider Name
Samantha Shyanne Gordon
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
227235 Teal Ave, Wausau, WI, 19958-3608
Phone Number
630-826-9753
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
227235 Teal Ave
City
Wausau
State
Wisconsin
Zip
54401-2557
Phone Number
630-826-9753
Fax Number
person
Provider Business Mailing Address Details
Address
227235 Teal Ave
City
Wausau
State
Wisconsin
Zip
54401-2557
Phone Number
630-826-9753
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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