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General NPI Number Information
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NPI Number | 1497892095
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Entity Type | Individual
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Provider Name | LYNETTE A GARDINER ARNP, MN, CS
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 627 5TH ST SUITE 201
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City | MUKILTEO
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State | WA
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Zip | 98275-1580
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Country | US
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Telephone | 425-290-3452
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Fax | 425-353-1042
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Provider Business Mailing Address
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Address Line | 627 5TH ST SUITE 201
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City | MUKILTEO
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State | WA
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Zip | 98275-1580
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Country | US
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Telephone | 425-290-3452
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Fax | 425-353-1042
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | AP30003907
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN00045658
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License Number State | WA
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