Vicki Lee Gordon, RN NP - Registered Nurse in Southfield, MI

Vicki Lee Gordon, RN NP is a Registered Nurse - Medical-surgical based in Southfield, Michigan. Vicki Lee Gordon is licensed to practice in Michigan (license number 4704147901) and her current practice location is 16001 W 9 Mile Rd, Dept Of Surgery, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 849-3000.

NPI number for Vicki Lee Gordon is 1326035270 and her current mailing address is 25925 Telegraph Rd, 210, Southfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326035270.

Contact Information

Vicki Lee Gordon, RN NP
16001 W 9 Mile Rd, Dept Of Surgery,
Southfield, MI 48075-4818
(248) 849-3000
Not Available

Map and Direction




Provider's Profile

Full NameVicki Lee Gordon
GenderFemale
SpecialityRegistered Nurse - Medical-surgical
Location16001 W 9 Mile Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326035270
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Vicki Lee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326035270NPI-NPPES
4704147901OtherMILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 4704147901 (Michigan)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. Vicki Lee 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 AddressPractice Location Address
Vicki Lee Gordon, RN NP
25925 Telegraph Rd, 210,
Southfield, MI 48034-2518

Ph: (248) 746-0342
Vicki Lee Gordon, RN NP
16001 W 9 Mile Rd, Dept Of Surgery,
Southfield, MI 48075-4818

Ph: (248) 849-3000

Reviews and Comments


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