Individual
ASHLEY KAY GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 608-3297
Mailing address
4374 N CLEARBROOK AVE, MERIDIAN, ID 83646-2679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76458
ID
Other
Enumeration date
04/24/2020
Last updated
06/21/2023
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