Individual provider · Type 1 NPI
Breanna Gardner
Student in an Organized Health Care Education/Training Program · Mauldin, SC
NPI number
1942195037
Active
Practice location
207 Pinecrest Dr
Mauldin, SC 29662-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1942195037
Breanna Gardner's National Provider Identifier is 1942195037, issued on Jun 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mauldin, SC. The record was last updated on Jun 10, 2025.