Safiya A Gordon | Minnetonka, MN • PECOS Search

Safiya A Gordon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

Based on the most recent information from CMS, provider Safiya A Gordon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 10 days ago.

Profile Details

Provider ID
1588777858
Provider Type
Individual
Full Name
Gordon, Safiya A
Title
Ms.
Credential
A.R.N.P.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2006
Last Updated
10/1/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(727) 320-7879

Mailing Location

3040 36th Ave S, St Petersburg, FL 33712-3731

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9176677 Florida