Individual
AUTUMN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
235 PRINCESS ST, HANOVER, PA 17331-2309
(443) 848-9901
Mailing address
235 PRINCESS ST, HANOVER, PA 17331-2309
(443) 848-9901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030791
PA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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