Gardner, Mary Judith
Gardner, Mary Judith is an individual health care provider with primary practice located at 655 Kenmoor Ave Se Ste 101 , Grand Rapids MI 49546-8622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Gardner, Mary Judith can be contacted via phone (616) 900-9911.Contact Information
Primary practice address
655 Kenmoor Ave Se Ste 101
Grand Rapids MI 49546-8622
Phone: (616) 900-9911
Fax: (616) 900-9862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 4704281984 | Michigan |
Profile Details
| NPI number | 1033791843 |
|---|---|
| LBN Legal business name | Gardner, Mary Judith |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2021 |
| Last updated | Dec 6th, 2021 - about 3 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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