Individual
MISS EVELYN FAYE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
730 CANIELD POINT AVE, LAS VEGAS, NV 89148
(562) 396-3939
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15803
NV
164X00000X
Licensed Vocational Nurse
VN202744
CA
Other
Enumeration date
07/05/2011
Last updated
05/14/2025
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