Individual
CHRISTOPHER JEFF GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
410 CHEYENNE, SATANTA, KS 67870-8748
(620) 649-2771
(620) 649-2538
Mailing address
410 CHEYENNE, PO BOX 9, SATANTA, KS 67870-8748
(620) 649-2771
(620) 649-2538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2002018055
MO
363LF0000X
Family Nurse Practitioner
Primary
45845
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326092172
—
MO
01
—
14-97622-101
RN LICENSE
KS
05
—
200390150A
—
KS
01
—
45845
ARNP #
KS
Enumeration date
05/19/2006
Last updated
07/08/2011
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