Mary Burkhart Gordon is a Edmond, Oklahoma based nurse practitioner. Active license number of Mary Burkhart Gordon is AP4675 in Arizona. Her current practice location is 1701 Renaissance Blvd, Edmond. Patients can reach her at 405-844-4978 or can fax her at 405-844-0562. Mary Burkhart Gordon is ARNP and her NPI number (Unique professional ID assigned by NPPES) is 1821169590. Mary Burkhart Gordon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mary Burkhart Gordon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821169590
NPI Enumeration Date:
13 Nov, 2006
NPI Last Update On:
13 Feb, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Burkhart Gordon are as mentioned below.
License Number
Specialization
State
Status
AP4675
Arizona
Primary
45190
Nurse Practitioner
Kansas
Secondary
207906
Nurse Practitioner
Oklahoma
Secondary
95000713
Nurse Practitioner
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Burkhart Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6544
Other
PHS PROVIDER NUMBER
P01137754
Other
Arizona
RAILROAD MEDICARE
002828500
Medicaid
Florida
10001631801
Other
CHP PROVIDER NUMBER
427250709
Medicaid
Missouri
500028442
Other
RR MEDICARE
511800
Other
FIRSTGUARD
481202402
Other
PSKU TAX ID
757385
Medicaid
Arizona
100446630A
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Burkhart Gordon 1701 Renaissance Blvd, Edmond, Oklahoma
Zip:
73013-3086
Phone Number:
405-844-4978
Fax Number:
405-844-0562
Patients can reach Mary Burkhart Gordon at 1701 Renaissance Blvd, Edmond, Oklahoma or can call to book an appointment on 405-844-4978.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.