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Dr. Amy R Gordon, NP-C
Family Nurse Practitioner in Minneapolis, Minnesota
NPI 1336573500

Amy R Gordon is a Family Nurse Practitioner based in Minneapolis, MN and is specialized in Family. Amy R Gordon practices in Minneapolis, MN and has the professional credentials of NP-C. The NPI Number for Amy R Gordon is 1336573500 and holds a License No. R1830486 (Minnesota).

The current practice location address for Amy R Gordon is 525 Portland Ave, Minneapolis, MN and can be reached out via phone at 612-596-9643 and via fax at 612-596-9641.

Location: 525 Portland Ave, Minneapolis, MN, 55415-1533
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Provider Profile Details
NPI Number
1336573500
Provider Name
Amy R Gordon
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
525 Portland Ave, Minneapolis, MN, 55415-1533
Phone Number
612-596-9643
Fax Number
612-596-9641
Provider Enumeration Date
08/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H400240648 05 MN
institution
Provider Business Practice Location Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-596-9643
Fax Number
612-596-9641
person
Provider Business Mailing Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-596-9643
Fax Number
612-596-9641
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R1830486 (Minnesota)
Definition
Definition to come...
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