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 4 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