Gordon, Ella Mae

Gordon, Ella Mae is an individual health care provider with primary practice located at 450 West State Street 4Th Floor, Boise ID 83720-0036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gordon, Ella Mae can be contacted via phone (208) 334-5616.

Contact Information

Primary practice address
450 West State Street 4Th Floor Boise ID 83720-0036
Phone: (208) 334-5616
Fax: (208) 332-7346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X IDAHONP-99 Idaho

Profile Details

NPI number 1194093344
LBN Legal business name Gordon, Ella Mae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 2nd, 2011 - about 15 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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