Individual
KIMBERLY M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-3574
Mailing address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-3574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024005125
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030614
CA
Other
Enumeration date
02/16/2024
Last updated
10/10/2025
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