IndividualActive
Faith Gordon, RN, ADN
NPI 1336818269 · Diabetes Educator Registered Nurse · Roosevelt, UT
Provider details
- NPI number
- 1336818269
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, ADN
- Sex
- Female
- Sole proprietor
- No
- License
- 10392868-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-6130
Approximate (ZIP-level) locationGet directions
Mailing address
250 W 300 N
Roosevelt, UT 84066-2336
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.