Individual
AMY D. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 COURTNEY LANE, CRANE, MO 65633-9192
(417) 269-2264
(417) 269-2270
Mailing address
3800 S. NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5284
(417) 269-2264
(417) 269-2270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
134830
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425928405
—
MO
Enumeration date
11/07/2006
Last updated
12/04/2012
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