PAULA S. GORDY LISW, LLC - NPI 1144821703 - Nurse Practitioner in Centerville, IA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Paula S. Gordy Lisw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULA S. GORDY LISW, LLC (NPI 1144821703) is a healthcare organization registered as a psychiatric/mental health in Centerville, Iowa and active in the NPI registry since November 2020. The organization lists Paula Sue Gordy, Owner, as its authorized official.

NPPES Registry Identity

NPI1144821703

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePAULA S. GORDY LISW, LLC

Location Address501 N 12TH ST STE 1Centerville, IA 52544-1439

Mailing Address501 N 12th St Ste 1Centerville, IA 52544-1439 · (641) 856-2688 · Fax (641) 856-2690

Phone(641) 856-2688

Fax(641) 856-2690

Organization SubpartNo

Authorized OfficialPaula Sue GordyOwner · (641) 856-2688

Enumeration DateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1144821703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

501 N 12TH ST STE 1, Centerville, IA 52544

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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