Individual
SAMANTHA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
513 HILLERY RD, SUITE C, COMANCHE, OK 73529-1200
(580) 439-2000
(580) 439-5669
Mailing address
513 HILLERY RD, SUITE C, COMANCHE, OK 73529-1200
(580) 439-2000
(580) 439-5669
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
109994
OK
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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