Individual provider · Type 1 NPI

Lukas Gardner

Acute Care Nurse Practitioner · Flagstaff, AZ

NPI number 1215745104 Active

Practice location

1851 N Gemini Dr
Flagstaff, AZ 86001-1607

Mailing address

4343 E Soliere Ave Apt 2023
Flagstaff, AZ 86004-7953

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X247536 (AZ)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1215745104

Lukas Gardner's National Provider Identifier is 1215745104, issued on Dec 23, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Flagstaff, AZ. The record was last updated on Jan 18, 2026.