Individual provider · Type 1 NPI

Mario Gardner, APRN

Nurse Practitioner · Destin, FL

NPI number 1679117451 Active

Practice location

137 Crystal Beach Dr Ste 121
Destin, FL 32541-3573

Fax (850) 862-0605

Mailing address

917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651

Other practice locations

  • 917 Mar Walt Dr, Fort Walton Beach, FL 32547-6651 · (850) 862-3979

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11006004 (FL)
Registered Nurse 163W00000XRN9265919 (FL)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011XAPRN11006004 (FL)

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…

2 other providers at this address

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About NPI 1679117451

Mario Gardner, APRN's National Provider Identifier is 1679117451, issued on Nov 4, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Destin, FL. The record was last updated on Feb 15, 2024.