IndividualActive
Courtney Gordon, PA-C
NPI 1184863342 · Physician Assistant · Laramie, WY
Provider details
- NPI number
- 1184863342
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 496 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3810 E Grand Ave
Laramie, WY 82070-5179
Phone: (307) 721-1794
Fax: (907) 721-1795
Approximate (ZIP-level) locationGet directions
Mailing address
3810 E Grand Ave
Laramie, WY 82070-5179
Registry dates
- Enumerated
- 2009-02-11
- Last updated
- 2016-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.