LATASHA GARDENER NURSE PRACTITIONER NPI 1104349117

NPI Information

Latasha Gardener, NURSE PRACTITIONER is a family nurse practitioner in Buffalo, NY with 7 years of experience. Latasha Gardener, NURSE PRACTITIONER NPI is 1104349117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

564 NIAGARA ST BLDG 2
BUFFALO, NY
ZIP 14201-108
Phone: (716) 882-0366

The NPI 1104349117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2017 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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