Gardner, Laurel M

Gardner, Laurel M is an individual health care provider with primary practice located at 85 S Middleton Rd , Nampa ID 83651-1526. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gardner, Laurel M can be contacted via phone (208) 505-2800.

Contact Information

Primary practice address
85 S Middleton Rd Nampa ID 83651-1526
Phone: (208) 505-2800
Fax: (208) 505-2801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2660 Idaho

Profile Details

NPI number 1700516978
LBN Legal business name Gardner, Laurel M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2022
Last updated Apr 5th, 2024 - about 8 months 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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