Ms Nina Gomez Gordon, LPN is a
Licensed Practical Nurse based in Vineyard Haven, Massachusetts. Ms Nina Gomez Gordon is licensed to practice in Massachusetts (license number LN69589) and her current practice location is
132 Winyah Ln, Vineyard Haven, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 693-2052.
NPI number for Ms Nina Gomez Gordon is 1477481026 and her current mailing address is 132 Winyah Ln, Vineyard Haven, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477481026.
Provider's Profile
| Full Name | Ms Nina Gomez Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 132 Winyah Ln, Vineyard Haven, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477481026
- Provider Enumeration Date: 05/13/2026
- Last Update Date: 05/13/2026
Medical Identifiers
Medical identifiers for Ms Nina Gomez Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477481026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | LN69589 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nina Gomez Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Nina Gomez Gordon, LPN 132 Winyah Ln, Vineyard Haven, MA 02568-5852 Ph: (508) 693-2052 | Ms Nina Gomez Gordon, LPN 132 Winyah Ln, Vineyard Haven, MA 02568-5852 Ph: (508) 693-2052 |
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