Gordon, Wyatte
Gordon, Wyatte is an sole proprietor health care provider with primary practice located at 2100 Louisiana Blvd Ne Ste 410 , Albuquerque NM 87110-5412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gordon, Wyatte can be contacted via phone (505) 724-4300.Contact Information
Primary practice address
2100 Louisiana Blvd Ne Ste 410
Albuquerque NM 87110-5412
Phone: (505) 724-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2023-0298 | New Mexico |
Profile Details
| NPI number | 1982336319 |
|---|---|
| LBN Legal business name | Gordon, Wyatte |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2022 |
| Last updated | Feb 20th, 2024 - about 2 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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