Gordon, Judy Rae

Gordon, Judy Rae is an individual health care provider with primary practice located at 1100 A St , Plummer ID 83851. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gordon, Judy Rae can be contacted via phone (208) 686-1767.

Contact Information

Primary practice address
1100 A St Plummer ID 83851
Phone: (208) 686-1767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N22901 Idaho

Profile Details

NPI number 1588645444
LBN Legal business name Gordon, Judy Rae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 18 years 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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