Individual
CHARMELLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60464761
WA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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