Individual provider · Type 1 NPI

Kathi Sue Gardner, FNP-C

General Practice Registered Nurse · Stockton, CA

NPI number 1689017972 Active

Practice location

2333W March Ln A1
Stockton, CA 95207-5263

Fax (209) 474-7679

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X21599 (CA)

General Practice Registered Nurse: Definition to come...

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About NPI 1689017972

Kathi Sue Gardner, FNP-C's National Provider Identifier is 1689017972, issued on Apr 17, 2013. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Stockton, CA. The record was last updated on Sep 3, 2015.