Gordon, Samantha Shyanne

Gordon, Samantha Shyanne is an individual health care provider with primary practice located at 227235 Teal Ave , Wausau WI 54401-2557. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gordon, Samantha Shyanne can be contacted via phone (630) 826-9753.

Contact Information

Primary practice address
227235 Teal Ave Wausau WI 54401-2557
Phone: (630) 826-9753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1003539792
LBN Legal business name Gordon, Samantha Shyanne
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Sep 19th, 2022 - about 4 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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