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Individual
DR. REBECCA LYNN GARDINER
Active
Individual
DR. REBECCA LYNN GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5669786-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5669786-4405
UT
Other
Enumeration date
06/12/2019
Last updated
11/16/2021
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