Individual provider · Type 1 NPI

Samantha Jordan Gardow

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1639080153 Active

Practice location

601 W Dayton St
Madison, WI 53715-1206

Call (608) 263-8850 Map

Mailing address

2724 Abbe Hill Dr
Eau Claire, WI 54703-1247

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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.

5 other providers at this address

Other student in an organized health care education/training program providers in Madison

See all in Madison →

About NPI 1639080153

Samantha Jordan Gardow's National Provider Identifier is 1639080153, issued on Sep 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Oct 10, 2026.