Gordon, Tisha C.

Gordon, Tisha C. is an individual health care provider with primary practice located at 170 N 1100 E , American Fork UT 84003-2096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gordon, Tisha C. can be contacted via phone (801) 763-3300.

Contact Information

Primary practice address
170 N 1100 E American Fork UT 84003-2096
Phone: (801) 763-3300
Fax: (801) 432-2668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 354490-4406 Utah

Profile Details

NPI number 1720310253
LBN Legal business name Gordon, Tisha C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2010
Last updated Feb 9th, 2010 - 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.

Request for update

Popular Providers