Individual
MR. CUBBY L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
74 NEALY AVE, LANGLEY AFB, VA 23665-2020
(940) 349-2917
(757) 225-2788
Mailing address
196 SWEENEY BLVD, HAMPTON, VA 23665-2206
(940) 231-3476
(757) 224-9815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
618132
TX
Other
Enumeration date
04/09/2007
Last updated
07/24/2010
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