Healthcare Provider Details

I. General information

NPI: 1346157583
Provider Name (Legal Business Name): HELEN CAROLINE GORDON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 S TIMBERLINE RD STE A
FORT COLLINS CO
80525-3625
US

IV. Provider business mailing address

1647 ILLINGWORTH DR
WINDSOR CO
80550-6095
US

V. Phone/Fax

Practice location:
  • Phone: 970-207-9773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002353-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: