Individual
CASSANDRA MAE GARDNER
Active
Individual
CASSANDRA MAE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
269683
NC
363LF0000X
Family Nurse Practitioner
Primary
5018287
NC
363LF0000X
Family Nurse Practitioner
GARD-Z3JMG
NC
Other
Enumeration date
05/16/2023
Last updated
09/12/2023
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