Individual
TAYLOR GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
712 HARAN AVE, MANVILLE, NJ 08835-2536
(908) 403-8303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14979500
NJ
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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