Individual
KRISTEN MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2055 W FRYE RD STE 9, CHANDLER, AZ 85224-6277
(480) 821-3616
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 857-2667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7200
AZ
363AM0700X
Medical Physician Assistant
Primary
7200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443877
—
AZ
Enumeration date
09/06/2018
Last updated
05/30/2024
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