Individual
MRS. DENICE LONG GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
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
Update your record
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