Active NPIIndividual providerSole proprietor

Mary Gordon

Nutritionist in Camden, Maine

NPI Number1023963543
Practice location
25 Central St Apt A, Camden, ME 04843-1651
Fax
—
Last updated
March 2, 2026

Mary Gordon is a Nutritionist based in Camden, ME. Mary Gordon practices in Camden, ME. The NPI Number for Mary Gordon is 1023963543. The current practice location address for Mary Gordon is 25 Central St Apt A, Camden, ME 04843-1651 and can be reached out via phone at 703-994-1622.

Provider Profile Details

NPI Number
1023963543
Provider Name
Mary Gordon
Provider Entity Type
Individual
Gender
Female
Address
25 Central St Apt A, Camden, ME 04843-1651
Phone Number
703-994-1622
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2026
Last Update Date
March 2, 2026
Certification Date
March 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Central St Apt A
Camden, ME 04843-1651
City
Camden
State
Maine
Zip
04843-1651
Phone Number
703-994-1622
Camden, ME 04843Get directions →

Provider Business Mailing Address Details

Address
25 Central St Apt A
Camden, ME 04843-1651
City
Camden
State
ME
Zip
04843-1651

License Information

Taxonomy
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Gordon?

The NPI number of Mary Gordon is 1023963543. It was assigned on March 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Mary Gordon?

Mary Gordon is registered under the primary taxonomy Nutritionist (code 133N00000X).

Where does Mary Gordon practice?

The practice location is 25 Central St Apt A, Camden, ME 04843-1651. The office can be reached at 703-994-1622 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023963543 directly on the NPPES registry website.

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