Individual
REBECCA ELLA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2325 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3356
(314) 977-5400
Mailing address
2325 DOUGHERTY FERRY RD STE 102103, SAINT LOUIS, MO 63122-3356
(314) 977-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016038649
MO
363LF0000X
Family Nurse Practitioner
F09161352
MO
Other
Enumeration date
04/18/2017
Last updated
09/20/2024
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