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Organization

PATTI GARDNER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATTI F GARDNER APRN (OWNER)
(402) 476-7557
Entity
Organization

Contact information

Practice address
4444 SOUTH 86TH ST, SUITE 102, LINCOLN, NE 68526-9253
(402) 476-7557
(402) 476-9912
Mailing address
4444 SOUTH 86TH ST, SUITE 102, LINCOLN, NE 68526-9253
(402) 476-7557
(402) 476-9912

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111008
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026386502
NE
01
1588879662
NPI
NE
Enumeration date
01/13/2014
Last updated
10/12/2023
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