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NPI Code Detail

MEDICARE: EMILY L GARDNER APRN

MEDICARE: EMILY L GARDNER APRN
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
1363LF0000XFamily Nurse Practitioner53-76217-071KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578985131
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY L GARDNER APRN
Provider Business Mailing Address
First Line : 16538 W 159TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-3924
Country : US
Telephone Number : 913-829-1660
Fax Number : 913-829-1660
Provider Business Practice Location Address
First Line : 16538 W 159TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-3924
Country : US
Telephone Number : 913-829-1660
Fax Number : 913-829-1660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 08/26/2014

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