Active NPIIndividual provider

Nicole Gordon, NP

Nurse Practitioner, Gerontology in Manchester, New Hampshire

NPI Number1982789939
Practice location
138 Webster St, Manchester, NH 03104-2512
Fax
603-663-7039
Last updated
February 2, 2010

Nicole Gordon is a Nurse Practitioner, Gerontology based in Manchester, NH. Nicole Gordon practices in Manchester, NH and has the professional credentials of NP. The NPI Number for Nicole Gordon is 1982789939 and holds a License No. 254623 (MA). The current practice location address for Nicole Gordon is 138 Webster St, Manchester, NH 03104-2512 and can be reached out via phone at 603-663-7030 and via fax at 603-663-7039.

Provider Profile Details

NPI Number
1982789939
Provider Name
Nicole Gordon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
138 Webster St, Manchester, NH 03104-2512
Phone Number
603-663-7030
Fax Number
603-663-7039
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Other Names
-- Nicole Rogalski, NP (Former Name)
Provider Enumeration Date
October 26, 2006
Last Update Date
February 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Webster St
Manchester, NH 03104-2512
Zip
03104-2512
Phone Number
603-663-7030
Fax Number
603-663-7039
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
138 Webster St
Manchester, NH 03104-2512
City
Manchester
State
NH
Zip
03104-2512
Phone Number
603-663-7030
Fax Number
603-663-7039

License Information

License Number (1)
254623
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
254623
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
053134-23
License State (3)
NH
Taxonomy (3)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Nicole Gordon, NP?

The NPI number of Nicole Gordon, NP is 1982789939. It was assigned on October 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole Gordon, NP?

Nicole Gordon, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 254623.

Where does Nicole Gordon, NP practice?

The practice location is 138 Webster St, Manchester, NH 03104-2512. The office can be reached at 603-663-7030 (phone) or 603-663-7039 (fax).

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 1982789939 directly on the NPPES registry website.

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