Gardner, Mandie Rose
Gardner, Mandie Rose is an sole proprietor health care provider with primary practice located at 7146 Country Village Dr Sw , Tumwater WA 98512-7062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gardner, Mandie Rose can be contacted via phone (219) 384-7104.Contact Information
Primary practice address
7146 Country Village Dr Sw
Tumwater WA 98512-7062
Phone: (219) 384-7104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61185174 | Washington |
Profile Details
| NPI number | 1205407376 |
|---|---|
| LBN Legal business name | Gardner, Mandie Rose |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2021 |
| Last updated | Jul 8th, 2021 - about 4 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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