Individual provider · NPI-1

Melissa Amy Gorden, RN

Registered Nurse, General Practice · Walnut Creek, CA

NPI number1346869609
StatusActive
Last updated in NPPESApr 15, 2020

Details

NPI
1346869609
Entity type
Individual (NPI-1)
Name
Melissa Amy Gorden
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2020
Certification date
Apr 15, 2020
Last updated
Apr 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice533835CAYes

Practice location

60 Iron Horse Ln
Walnut Creek, CA 94597-6913

Phone 925-286-0243

Mailing address

Po Box 4695
Walnut Creek, CA 94596-0695

Phone 925-286-0243

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