Individual provider · Type 1 NPI

Amy Phylene Gardner

Student in an Organized Health Care Education/Training Program · Renton, WA

NPI number 1265131692 Active

Practice location

723 SW 10th St
Renton, WA 98057-5223

Call (206) 461-4880 Map

Mailing address

13316 110th Avenue Ct E
Puyallup, WA 98374-5618

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265131692

Amy Phylene Gardner's National Provider Identifier is 1265131692, issued on Feb 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Renton, WA. The record was last updated on Feb 24, 2023.