Individual
MRS. CHERYL M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 267-6687
(321) 747-0407
Mailing address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 267-6687
(321) 747-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3409302
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP3409302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004473700
—
FL
Enumeration date
03/15/2007
Last updated
06/09/2015
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