Individual
MS. MARY ANN GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
1509 RITCHIE HWY, ARNOLD, MD 21012-2742
(410) 757-7600
(410) 626-8043
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R085255
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120106
JHHC PROVIDER NUMBER
MD
01
—
1978522
AETNA HMO
MD
05
—
400109500
—
MD
01
—
500026827
RAILROAD MEDICARE
MD
01
—
687423-02
CAREFIRST MD RENDERING
MD
01
—
7605-0053
CAREFIRST BLUECHOICE
MD
01
—
9122236
AETNA PPO
MD
Enumeration date
08/09/2005
Last updated
08/22/2019
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