Gordon Eden
Licensed Practical Nurse · Roscommon, MI
Practice location
305 N 5TH StRoscommon, MI 48653-2508
- Phone
- (989) 275-8000
NPI record
- NPI
- 1891216339
- Entity type
- Individual (Type 1)
- Enumeration date
- July 6, 2017
- Last updated
- July 6, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
4703097029 | MI |
Mailing address
5701 Wellington WayGrayling, MI 49738-6727
About Gordon Eden
Gordon Eden is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 305 N 5TH St, Roscommon, MI 48653-2508. The NPI number 1891216339 was assigned on July 6, 2017 and the record was last updated on July 6, 2017.
Gordon Eden lists a license in the registry: #4703097029 (MI) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gordon Eden?
The NPI number is 1891216339.
What is the phone number of Gordon Eden?
The phone number listed for the practice location is (989) 275-8000.
Where is Gordon Eden located?
305 N 5TH St, Roscommon, MI 48653-2508.
What is the taxonomy code for Gordon Eden?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Licensed Practical Nurse providers in Roscommon
- Pamela Lynne Disney217 Newman St
- Tara Mallory5705 September Ln