Individual
MRS. KAREN RUCKLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7299
(907) 357-9590
(907) 357-9593
Mailing address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7299
(907) 357-9590
(907) 357-9593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1161
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0140
—
AK
Enumeration date
08/05/2010
Last updated
10/11/2011
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