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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DELANA KIM GARDNER FNP-C (FAMILY NURSE PRACTITIONER)
(602) 647-9085
Entity
Organization

Contact information

Practice address
8608 N 59TH AVE STE B, GLENDALE, AZ 85302-5404
(602) 647-9085
(602) 464-4671
Mailing address
8608 N 59TH AVE STE B, GLENDALE, AZ 85302-5404
(602) 647-9085
(602) 464-4671

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP5166
AZ

Other

Enumeration date
06/07/2017
Last updated
01/18/2019
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