Individual
AUTUMN RENEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3160 VISTA BLVD, SPARKS, NV 89436-6703
(775) 352-7200
(775) 352-7222
Mailing address
3160 VISTA BLVD, SPARKS, NV 89436-6703
(775) 352-7200
(775) 352-7222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN001207
NV
Other
Enumeration date
06/21/2010
Last updated
06/22/2010
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