Individual provider · Type 1 NPI

Gary John Gardner, N.P.

Women's Health Nurse Practitioner · St. Louis, MO

NPI number 1003104993 Active

Practice location

4251 Forest Park Ave
St. Louis, MO 63108-2810

Mailing address

26 N Pennsylvania Ave
Belleville, IL 62220-3952

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X209005922 (IL)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1003104993

Gary John Gardner, N.P.'s National Provider Identifier is 1003104993, issued on Jul 13, 2011. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in St. Louis, MO. The record was last updated on Aug 21, 2012.