Individual
ROBIN MICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
30 E APPLE ST STE 5254, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-2678
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.023965
STATE LICENSE
OH
Enumeration date
01/04/2019
Last updated
10/25/2021
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