MRS. YORVOLL GARDNER NP NPI 1508381039

NPI Information

NPI: 1508381039
Provider Name: MRS. YORVOLL GARDNER, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1027 BELLEVUE AVE STE 107
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 645-3743
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MRS. Yorvoll Gardner, NP is an adult health nurse practitioner in Saint Louis, MO. MRS. Yorvoll Gardner, NP NPI is 1508381039. 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:

1027 BELLEVUE AVE STE 107
SAINT LOUIS, MO
ZIP 63117-851
Phone: (314) 645-3743
Fax: (314) 647-7967

The NPI 1508381039 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 8/5/2017 and was last updated on 4/18/2018.

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	207RG0300X	Internal Medicine	Geriatric Medicine	AG07170077	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	2017029363	MISSOURI	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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