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Individual

BONNIE L GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2003 MEDICAL PKWY STE 150, ANNAPOLIS, MD 21401-0317
(443) 481-1199
(443) 481-1495
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
(667) 204-7212
(443) 481-4151

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R181978
MD

Other

Enumeration date
12/11/2019
Last updated
12/24/2024
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