Individual
CAROLINE RENEA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7805 N LEVERETT CT, COEUR D ALENE, ID 83815-4978
(919) 737-1255
Mailing address
7805 N LEVERETT CT, COEUR D ALENE, ID 83815-4978
(919) 737-1255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019448
NC
Other
Enumeration date
01/18/2024
Last updated
12/02/2025
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