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

Samantha Shyanne Gordon, CNA

Individual provider Home Health Aide · NPI 1003539792

Samantha Shyanne Gordon, CNA is a Home Health Aide in Wausau, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

227235 Teal Ave
Wausau, WI 54401-2557
Phone: (630) 826-9753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1003539792
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

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