Individual
LESLEY MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0026940
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
0026940
OH
Other
Enumeration date
03/21/2022
Last updated
05/10/2023
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