Individual
NANCY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E MAHANOY ST, MAHANOY CITY, PA 17948-3006
(520) 906-8494
Mailing address
1205 E MAHANOY ST, MAHANOY CITY, PA 17948-3006
(520) 906-8494
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN219868L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032124
AANA NO.
—
Enumeration date
07/18/2006
Last updated
03/27/2026
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