Individual
ANISAH GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1213 NILLES RD, FAIRFIELD, OH 45014-2911
(513) 858-6900
(513) 858-6903
Mailing address
1213 NILLES RD, FAIRFIELD, OH 45014-2911
(513) 858-6900
(513) 858-6903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009433RX
OH
Other
Enumeration date
05/05/2025
Last updated
03/17/2026
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