Individual
TANYA LORAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20350 EGYPT RD, ABERDEEN, MS 39730-8532
(662) 436-7653
Mailing address
20350 EGYPT RD, ABERDEEN, MS 39730-8532
(662) 436-7653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906783
MS
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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