Gardner, Christina Marie
Gardner, Christina Marie is an individual health care provider with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gardner, Christina Marie can be contacted via phone (540) 985-8000.Contact Information
Primary practice address
101 Elm Ave Se
Roanoke VA 24013-2222
Phone: (540) 985-8000
Fax: (540) 981-9550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002184 | Virginia |
Profile Details
| NPI number | 1609839687 |
|---|---|
| LBN Legal business name | Gardner, Christina Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | May 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609839687 | NPPES |
| Virginia | MEDICAID | 010211590 | |
| Virginia | Other | P00266768 | |
| Virginia | MEDICAID | 010211581 | |
| Virginia | MEDICAID | 010212502 |
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