Individual
MRS. ANNA PETTY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2214 GATEWAY DR STE C, OPELIKA, AL 36801-6832
(334) 741-0075
Mailing address
2214 GATEWAY DR STE C, OPELIKA, AL 36801-6832
(334) 741-0075
(334) 741-4075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-163163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F04210240
CERTIFICATION NUMBER
AL
Enumeration date
05/31/2021
Last updated
01/02/2024
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