Individual
TAMARA JOY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, CNM
Contact information
Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 405-8026
Mailing address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
64907
NM
367A00000X
Advanced Practice Midwife
Primary
627
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386924744
—
NM
Enumeration date
08/17/2011
Last updated
06/26/2025
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