Individual
COLLEEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5320 OVERBEND TRL, SUWANEE, GA 30024-1785
(404) 229-0533
Mailing address
5320 OVERBEND TRL, SUWANEE, GA 30024-1785
(404) 229-0533
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN082384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594808436A
—
GA
Enumeration date
12/26/2006
Last updated
10/14/2025
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