Individual
BRITTNIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2610 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 403-4820
Mailing address
2610 NEW BERN AVE, RALEIGH, NC 27610-1821
(199) 403-4820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
251G00000X
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5007955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401523
—
NC
Enumeration date
10/01/2015
Last updated
09/24/2019
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