# PATTI GARDNER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730501602
- **Authorized official:** PATTI F GARDNER APRN (OWNER)
- **Authorized official phone:** (402) 476-7557

## Contact information

- **Practice address:** 4444 SOUTH 86TH ST, SUITE 102, LINCOLN, NE 68526-9253
- **Practice address phone:** (402) 476-7557
- **Practice address fax:** (402) 476-9912
- **Mailing address:** 4444 SOUTH 86TH ST, SUITE 102, LINCOLN, NE 68526-9253
- **Mailing address phone:** (402) 476-7557
- **Mailing address fax:** (402) 476-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 111008 | NE | Yes |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 10/12/2023
