Individual
CASSANDRA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7783 N 88TH AVE, OMAHA, NE 68122-5269
(402) 510-6073
(402) 510-6073
Mailing address
7783 N 88TH AVE, OMAHA, NE 68122-5269
(402) 510-6073
(402) 510-6073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23074
NE
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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