Individual
EMILY L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 829-1660
(913) 829-1660
Mailing address
16538 W 159TH TER, OLATHE, KS 66062-3924
(913) 829-1660
(913) 829-1660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76217-071
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098290A
—
KS
Enumeration date
01/15/2014
Last updated
08/26/2014
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