Individual
MRS. DELANA KIM GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7002 S CENTRAL AVE, PHOENIX, AZ 85042-5423
(602) 499-4221
(602) 268-6298
Mailing address
7002 S CENTRAL AVE, PHOENIX, AZ 85042-5423
(602) 499-4221
(602) 268-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5166
AZ
363LF0000X
Family Nurse Practitioner
TAP5166
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854053
—
AZ
Enumeration date
09/18/2013
Last updated
04/04/2023
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