Individual provider · Type 1 NPI
Gabrielle Gardner, BS
Student Health Clinic/Center · New London, CT
NPI number
1639904063
Active
Practice location
7 Vauxhall St
New London, CT 06320-5711
Fax (860) 661-4262
Mailing address
PO Box 120
New London, CT 06320-0120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1639904063
Gabrielle Gardner, BS's National Provider Identifier is 1639904063, issued on Sep 5, 2024. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in New London, CT. The record was last updated on Feb 20, 2026.