Individual
MR. DANIEL PHILLIP GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8725 COUNTY ROAD 64, DAPHNE, AL 36526
(251) 625-1370
(251) 625-1380
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-122937
AL
363LF0000X
Family Nurse Practitioner
Primary
1-122937
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03323279
MS MEDICAID
MS
01
—
10138I3499
MEDICARE
AL
05
—
179179
—
AL
05
—
213045
—
AL
05
—
214334
—
AL
05
—
221246
—
AL
05
—
222164
—
AL
05
—
223477
—
AL
01
—
4992223
AETNA
AL
01
—
511-67959
BCBS
AL
01
—
511-70269
BCBS
AL
01
—
511-70270
BCBS
AL
01
—
511-95547
BCBS
AL
01
—
512-05546
BCBS
AL
01
—
512-05548
BCBS
AL
01
—
5581031
UHC
AL
01
—
P01572739
RR MEDICARE
AL
01
—
Z33078
VIVA HEALTH
AL
Enumeration date
06/04/2015
Last updated
02/23/2024
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