MR. GARY JOHN GARDNER N.P. NPI 1003104993

NPI Information

NPI: 1003104993
Provider Name: MR. GARY JOHN GARDNER, N.P.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
4251 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (618) 363-9545
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MR. Gary John Gardner, N.P. is a women's health nurse practitioner in Saint Louis, MO. MR. Gary John Gardner, N.P. NPI is 1003104993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4251 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108-810
Phone: (618) 363-9545

The enumeration date for this NPI number is 7/13/2011 and was last updated on 8/21/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	209005922	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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