Steven Mark Gordon
Nurse Practitioner - Psychiatric/Mental Health
10015 Old Columbia Rd Suite B-215
Columbia
, Maryland 21046-1703
Steven Mark Gordon
Nurse Practitioner - Psychiatric/Mental Health
10015 Old Columbia Rd Suite B-215
Columbia
, Maryland 21046-1703
(410) 290-6273
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Steven Mark Gordon
- 10015 Old Columbia Rd Suite B-215
- Columbia, MD
- Zip : 21046-1703
- Fax : (410) 290-6273
- Phone : (410) 988-2503
Second Address
- Steven Mark Gordon
- 10015 Old Columbia Rd Suite B-215
- Columbia, MD
- Zip : 21046-1703
- Fax : (410) 290-6273
- Phone : (410) 988-2503
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R144658 | MD |
National Provider Identifier
| NPI | 1013925783 |
|---|---|
| Provider Name | Steven Mark Gordon |
| First Address | Columbia, MD 21046-1703 |
| Second Address | Columbia, MD 21046-1703 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 25/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.