Individual
STEPHANIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 599-0245
Mailing address
355 LAPALCO BLVD APT D-12, GRETNA, LA 70056-7358
(504) 940-9705
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
225534
LA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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