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Individual

BRAD VANCE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1220 SPRUCE ST, BELMONT, NC 28012-3370
(704) 825-5333
(704) 825-1751
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(048) 342-4507
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201403
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201403
NC

Other

Enumeration date
09/20/2005
Last updated
05/03/2023
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