Individual provider · Type 1 NPI

Rebecca Ella Gardner, NP-C

Family Nurse Practitioner · St. Louis, MO

NPI number 1053845909 Active

Practice location

2325 Dougherty Ferry Rd
St. Louis, MO 63122-3356

Mailing address

2325 Dougherty Ferry Rd Ste 102103
St. Louis, MO 63122-3356

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF09161352 (MO)
Family Nurse Practitioner Primary 363LF0000X2016038649 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1053845909

Rebecca Ella Gardner, NP-C's National Provider Identifier is 1053845909, issued on Apr 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 20, 2024.