NPI
Nicole L Gordon
NPI 1144980699
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LSW
- Type
- Individual
- Enumeration date
- 2021-12-26
- Last updated
- 2026-09-23
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Specialties
Licenses
- License WA
- LW61666708
- License PA
- CW025576
- License NY
- 103495
- License MD
- 34561
- License NJ
- 44SC06709600
Location
- Practice location
- 115 Hillcrest Dr
- City
- Towanda PA
- Postal code
- 18848-8164
- Phone
- (570) 485-7815
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Towanda, PA. 264 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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