Individual
MS. NANCY BETH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2205 MCDOWELL DR, EULESS, TX 76039-4226
(817) 685-7102
Mailing address
2205 MCDOWELL DR, EULESS, TX 76039-4226
(817) 685-7102
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
628564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066KE
BC/BS
TX
Enumeration date
10/16/2006
Last updated
07/08/2007
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