Gordon, Donna

Gordon, Donna is an individual health care provider with primary practice located at 887 Congress St , Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gordon, Donna can be contacted via phone (207) 774-2381.

Contact Information

Primary practice address
887 Congress St Portland ME 04102
Phone: (207) 774-2381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN32466 Maine
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R032466 Maine

Profile Details

NPI number 1639263064
LBN Legal business name Gordon, Donna
Credentials ANP / FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 2nd, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639263064 NPPES
Maine MEDICAID 248130099
Maine MEDICAID 30343056

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