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Individual

MRS. REBECCA LYNN GARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, CCRN, FNP-C

Contact information

Practice address
9107 NW 45 HWY, PARKVILLE, MO 64152-3958
(816) 251-5775
(816) 251-5776
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 599-9499

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2013019484
MO
363LF0000X
Family Nurse Practitioner
Primary
2020000702
MO
363LF0000X
Family Nurse Practitioner
53-79233
KS

Other

Enumeration date
08/01/2019
Last updated
07/21/2020
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