Individual
SHELBY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 926-7100
(518) 926-7100
Mailing address
26 MARION AVE, SOUTH GLENS FALLS, NY 12803-4807
(518) 769-4265
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
772676
NY
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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