Individual
MARTHA LOUISE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 W HILL ST, LOUISVILLE, KY 40208-2216
(502) 636-3164
(502) 634-3731
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003254
KY
363LA2200X
Adult Health Nurse Practitioner
3254P
KY
Other
Enumeration date
02/12/2007
Last updated
01/12/2021
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