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Individual

MRS. DENICE LONG GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912
(517) 364-2468
(517) 364-3994
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
4704366904
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
AP60699163
WA

Other

Enumeration date
08/15/2016
Last updated
08/10/2021
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