Individual
DEBRA LEE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
575 COPELAND MILL RD, SUITE 1D, WESTERVILLE, OH 43081-8977
(614) 794-3663
(614) 794-3711
Mailing address
1057 SKINNER AVE, GAHANNA, OH 43230-3618
(614) 475-6691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-181132
OH
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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