Gardner, Karen Ruckle
Gardner, Karen Ruckle is an individual health care provider with primary practice located at 3066 E Meridian Park Loop , Wasilla AK 99654-7299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gardner, Karen Ruckle can be contacted via phone (907) 357-9590.Contact Information
Primary practice address
3066 E Meridian Park Loop
Wasilla AK 99654-7299
Phone: (907) 357-9590
Fax: (907) 357-9593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1161 | Alaska |
Profile Details
| NPI number | 1184938813 |
|---|---|
| LBN Legal business name | Gardner, Karen Ruckle |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Oct 11th, 2011 - about 13 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 | 1184938813 | NPPES |
| Alaska | MEDICAID | NP0140 |
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