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Contact Information

LEAH M GORDON, CRNA
3026 LEEWARD WAY
LITTLE CANADA, MN55109
 Phone: 651-208-3051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LEAH M GORDON · (Female)

NPI # 1962704577
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/02/2010
Last updated 11/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # R 172117-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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