Provider Demographics
NPI:1962623306
Name:GORDOS, ANN WECHTER (RN)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:WECHTER
Last Name:GORDOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 BELL ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2907
Mailing Address - Country:US
Mailing Address - Phone:440-247-9627
Mailing Address - Fax:
Practice Address - Street 1:325 BELL ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-2907
Practice Address - Country:US
Practice Address - Phone:440-247-9627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-212411163W00000X
OHRN212411163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics