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GORDON EDEN
NPI 1891216339
Licensed Practical Nurse in Roscommon, MI

Active since July 06, 2017
305 N 5TH ST, ROSCOMMON, MI 48653(989) 275-8000 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Eden NPPES

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

GORDON EDEN (NPI 1891216339) is an individual licensed practical nurse in Roscommon, Michigan, licensed in Michigan (4703097029) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1891216339
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameGORDON EDEN
Location Address305 N 5TH STRoscommon, MI 48653-2508
Mailing Address5701 Wellington WayGrayling, MI 49738-6727
Phone(989) 275-8000
Sole ProprietorNo
Enumeration DateJuly 6, 2017
✔ NPI 1891216339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703097029
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
305 N 5TH ST, Roscommon, MI 48653
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Eden's NPI number?

The NPI number for Gordon Eden is 1891216339. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Gordon Eden located?

Gordon Eden practices at 305 N 5th St, Roscommon, MI 48653. The listed phone number is (989) 275-8000.

What is Gordon Eden's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gordon Eden was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.