Individual
MRS. DEBORAH KIM GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
590 S MAIN ST, SNOWFLAKE, AZ 85937-5228
(928) 536-7519
(928) 532-2139
Mailing address
590 S MAIN ST, SNOWFLAKE, AZ 85937-5228
(928) 536-7519
(928) 532-2139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1086
AK
363LF0000X
Family Nurse Practitioner
Primary
286441
AZ
363LF0000X
Family Nurse Practitioner
576
WY
Other
Enumeration date
07/03/2007
Last updated
04/12/2024
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