Active NPIIndividual providerSole proprietor

Ms. La-Tricia A Gordon, RN

Registered Nurse in Bloomfield, New Jersey

NPI Number1457167728
Practice location
23 Walnut Ter, Bloomfield, NJ 07003-5025
Fax
—
Last updated
December 10, 2024

La-Tricia Alicia Gordon is a Registered Nurse based in Bloomfield, NJ. La-Tricia Alicia Gordon practices in Bloomfield, NJ and has the professional credentials of RN. The NPI Number for La-Tricia Alicia Gordon is 1457167728 and holds a License No. 26nr21499700 (NJ). The current practice location address for La-Tricia Alicia Gordon is 23 Walnut Ter, Bloomfield, NJ 07003-5025 and can be reached out via phone at 973-978-1368.

Provider Profile Details

NPI Number
1457167728
Provider Name
La-Tricia Alicia Gordon
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
23 Walnut Ter, Bloomfield, NJ 07003-5025
Phone Number
973-978-1368
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2024
Last Update Date
December 10, 2024
Certification Date
December 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Walnut Ter
Bloomfield, NJ 07003-5025
Zip
07003-5025
Phone Number
973-978-1368
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
23 Walnut Ter
Bloomfield, NJ 07003-5025
City
Bloomfield
State
NJ
Zip
07003-5025
Phone Number
973-978-1368

License Information

License Number (1)
26nr21499700
License State (1)
NJ
License Number (2)
26nr21499700
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X · 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 Ms. La-Tricia A Gordon, RN?

The NPI number of Ms. La-Tricia A Gordon, RN is 1457167728. It was assigned on December 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. La-Tricia A Gordon, RN?

Ms. La-Tricia A Gordon, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26nr21499700.

Where does Ms. La-Tricia A Gordon, RN practice?

The practice location is 23 Walnut Ter, Bloomfield, NJ 07003-5025. The office can be reached at 973-978-1368 (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 1457167728 directly on the NPPES registry website.

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