Individual
DENISE ELAINE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1942 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-5115
Mailing address
1942 AL HIGHWAY 157, CULLMAN, AL 35058-0609
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1051081
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051515015
BLUE CROSS BLUE SHIELD AL
AL
05
—
051515015
—
AL
01
—
P00033186
RAILROAD MEDICARE
AL
Enumeration date
06/01/2006
Last updated
08/07/2012
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