Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Gordon, FNP

Individual provider Registered Nurse · NPI 1689560765

Miranda Gordon, FNP is a Nurse Practitioner in Malone, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

134 Park St
Malone, NY 12953-1259
Phone: (518) 483-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 357152 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 770817 (NY)

Record details

NPI number1689560765
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address2039 State Route 3, Cadyville, NY 12918-2807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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