Individual
POLLY ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1414 116TH AVE NE, SUITE E, BELLEVUE, WA 98004-3801
(206) 215-4545
(206) 215-4550
Mailing address
2701 1ST AVE, SUITE 320, SEATTLE, WA 98121-1111
(206) 448-2516
(206) 448-6473
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211297
L & I
WA
05
—
9650797
—
WA
Enumeration date
05/19/2006
Last updated
12/05/2008
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