Gardner, Brittnie

Gardner, Brittnie is an individual health care provider with primary practice located at 2610 New Bern Ave , Raleigh NC 27610-1821. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Gardner, Brittnie can be contacted via phone (919) 403-4820.

Contact Information

Primary practice address
2610 New Bern Ave Raleigh NC 27610-1821
Phone: (919) 403-4820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 251G00000X North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5007955 North Carolina

Profile Details

NPI number 1023488137
LBN Legal business name Gardner, Brittnie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Sep 24th, 2019 - about 5 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 1023488137 NPPES
North Carolina MEDICAID 3401523

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