Individual
NYLA RAE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
80 NASHUA RD, SUITE B2, LONDONDERRY, NH 03053-3426
(603) 818-8926
(603) 818-8928
Mailing address
80 NASHUA RD, SUITE B2, LONDONDERRY, NH 03053-3426
(603) 818-8926
(603) 818-8928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
036181-23
NH
Other
Enumeration date
03/27/2013
Last updated
07/03/2013
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