Individual
CASSANDRA MAE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1925 N BRIDGE ST # 101, ELKIN, NC 28621-2105
(336) 835-7337
Mailing address
PO BOX 1490, BOONE, NC 28607-1490
(828) 262-3886
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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