Individual provider · Type 1 NPI
Kelly Gardiner
Nurse Practitioner · Detroit, MI
Practice location
12871 E Jefferson Ave
Detroit, MI 48215-2754
Fax (313) 217-4590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704170979 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1447294970
Kelly Gardiner's National Provider Identifier is 1447294970, issued on Jun 15, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 25, 2020.