Gardner, Brendalyn Ann

Gardner, Brendalyn Ann is an sole proprietor health care provider with primary practice located at 7303 Sloan Pl Ne , Atlanta GA 30329-4315. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gardner, Brendalyn Ann can be contacted via phone (404) 982-0987.

Contact Information

Primary practice address
7303 Sloan Pl Ne Atlanta GA 30329-4315
Fax: (404) 982-0987
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN036703 Georgia

Profile Details

NPI number 1578701512
LBN Legal business name Gardner, Brendalyn Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2009
Last updated Jan 29th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578701512 NPPES
Georgia Other 036703 LPN

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