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Mrs. Ellen M Gordon, LPN
Licensed Practical Nurse in Riverside, Ohio
NPI 1417924572

Ellen M Gordon is a Licensed Practical Nurse based in Riverside, OH. Ellen M Gordon practices in Riverside, OH and has the professional credentials of LPN. The NPI Number for Ellen M Gordon is 1417924572 and holds a License No. PN095501 (Ohio).

The current practice location address for Ellen M Gordon is 1523 Wake Ave, Riverside, OH and can be reached out via phone at 937-623-9143 and via fax at 937-253-5419.

Location: 1523 Wake Ave, Riverside, OH, 45431-1235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417924572
Provider Name
Ellen M Gordon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1523 Wake Ave, Riverside, OH, 45431-1235
Phone Number
937-623-9143
Fax Number
937-253-5419
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1523 Wake Ave
City
Riverside
State
Ohio
Zip
45431-1235
Phone Number
937-623-9143
Fax Number
937-253-5419
person
Provider Business Mailing Address Details
Address
1523 Wake Ave
City
Riverside
State
Ohio
Zip
45431-1235
Phone Number
937-623-9143
Fax Number
937-253-5419
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN095501 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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