Individual
NATHAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1407 W STASSNEY LN, AUSTIN, TX 78745-2947
(512) 440-4800
Mailing address
501 S RED RIVER ST, HENRIETTA, TX 76365-3709
(940) 228-6510
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1055941
TX
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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