Shirley Gordon, RN
Registered Nurse, Cardiac Rehabilitation in Mentor, OH. Individual provider (NPI-1).
NPI number1073531349
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1073531349
- Entity type
- Individual (NPI-1)
- Name
- Shirley Gordon
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC3500X | Registered Nurse, Cardiac Rehabilitation | RN 194973 | OH | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN194973 | OH | |
| 163WE0003X | Registered Nurse, Emergency | RN194973 | OH | |
| 163WG0000X | Registered Nurse, General Practice | RN 194973 | OH | |
| 163WH0200X | Registered Nurse, Home Health | RN194973 | OH | |
| 163WI0500X | Registered Nurse, Infusion Therapy | RN194973 | OH | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN 194973 | OH | |
| 163WP0200X | Registered Nurse, Pediatrics | RN194973 | OH | |
| 163WS0200X | Registered Nurse, School | RN194973 | OH | |
| 163WW0000X | Registered Nurse, Wound Care | RN 194973 | OH |
Practice location
9975 Dwayne CtMentor, OH 44060-7252
Phone 440-354-1553 · Fax 440-354-1553
Mailing address
9975 Dwayne CtMentor, OH 44060-7252
Phone 440-354-1553 · Fax 440-354-1553
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