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Individual

BONNIE B GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
100 W MARKET ST, SUITE 20, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
PO BO X 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6623P
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3006623
KY

Other

Enumeration date
11/14/2011
Last updated
08/28/2024
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