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NPI Code Detail

MEDICARE: MR. MICHAEL SEE GARDNER FNP

MEDICARE: MR. MICHAEL SEE GARDNER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP8068AZ
2363LF0000XFamily Nurse PractitionerAPN001148NV
3363LF0000XFamily Nurse PractitionerAP8068AZ

General Provider Information

NPI Number : 1083948723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL SEE GARDNER FNP
Provider Business Mailing Address
First Line : 6580 BUCKING HORSE LN.
Second Line : #103
City : HENDERSON
State : NV
Zip : 89011
Country : US
Telephone Number : 702-808-0327
Fax Number :
Provider Business Practice Location Address
First Line : 3211 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1953
Country : US
Telephone Number : 702-253-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 09/27/2021

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