Individual provider · Type 1 NPI
Shelby Lee Gardner, AGACNP-BC
Acute Care Nurse Practitioner · Peoria, IL
NPI number
1881408847
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
11417 Chase Ln
Brimfield, IL 61517-9538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209031548 (IL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209.031548 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1881408847
Shelby Lee Gardner, AGACNP-BC's National Provider Identifier is 1881408847, issued on Feb 1, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Peoria, IL. The record was last updated on Feb 4, 2025.