Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LINDA ANN GARDNER
Active
Individual
LINDA ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
45010
KS
363LF0000X
Family Nurse Practitioner
Primary
95016754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100392120B
—
KS
01
—
110181016
MEDICARE PTAN
KS
Enumeration date
05/17/2006
Last updated
11/11/2021
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