Individual
TARRYN ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20805 W 151ST ST STE 200, OLATHE, KS 66061-7249
(913) 324-8571
(913) 324-8590
Mailing address
22632 ST FRANCIS CT, SPRING HILL, KS 66083-7900
(913) 232-3010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77665-032
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033D00184
MEDICARE
KS
05
—
201179230A
—
KS
Enumeration date
06/13/2017
Last updated
04/30/2018
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