MEDICARE: DENI M GARDNER RN

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
1	207Q00000X	Family Medicine Physician	335352	AZ

General Provider Information

NPI Number	:	1518741636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENI M GARDNER RN

Provider Business Mailing Address
First Line	:	9036 E WRIGHTSTOWN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-5523
Country	:	US
Telephone Number	:	520-268-7105
Fax Number	:

Provider Business Practice Location Address
First Line	:	9036 E WRIGHTSTOWN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-5523
Country	:	US
Telephone Number	:	520-268-7105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	02/13/2026

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Directions to “ DENI M GARDNER RN” Practice Location

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