Provider Demographics
NPI:1912654617
Name:FOSTER -GORDON, BARBARA JEAN (RN, BSN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:FOSTER -GORDON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:PO BOX 12982
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-2982
Mailing Address - Country:US
Mailing Address - Phone:775-315-0507
Mailing Address - Fax:
Practice Address - Street 1:2765 BRASS SPUR WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7607
Practice Address - Country:US
Practice Address - Phone:775-315-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN72408163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse